Rebecca Petersen

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

8017 Codrington PL
Colorado Springs, CO 80908-5012

Phone

(719) 761-2085

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1376110338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 CODRINGTON PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085012",
            "telephone_number": "719-761-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8017 CODRINGTON PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085012",
            "telephone_number": "719-761-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Peters, ATC
• Traci Maxwell Peters, O.D.
• Amanda Petersen, MSN, APRN, FNP-C
• James Petersen, LCSW
• Meagan Elizabeth Petersen, PHARM.D.
• Rita J Petersen, LPC, NCC, ACS
• Peterson Family Eyecare
• Robert A Peterson II, P.A.-C
• Peterson Oximetry Services
• Alexis Peterson

• Attendant Care Provider in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Attendant Care Provider in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.