Active NPI
Luke Nathaniel Peters, BSN (ANRP STUDENT)
- Registered Nurse
- Vancouver, WA
National Provider Identifier
1396653192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60908815
- Practice address
- 14204 NE Salmon Creek Ave
Vancouver, WA 98686-9600 - Phone
- (360) 546-9788
- NPI assigned
- Sep 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 10059755 | OR | |
| Registered Nurse | 163W00000X | RN60908815 | WA | Primary |
Addresses
Primary practice location
14204 NE Salmon Creek Ave
Vancouver, WA 98686-9600
Mailing address
509 10TH Ave
Milton, WA 98354-8808
Phone (206) 963-2884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1396653192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 10TH AVE",
"city": "MILTON",
"state": "WA",
"postal_code": "983548808",
"telephone_number": "206-963-2884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14204 NE SALMON CREEK AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986869600",
"telephone_number": "360-546-9788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "LUKE",
"middle_name": "NATHANIEL",
"credential": "BSN (ANRP STUDENT)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "10059755",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60908815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.