Individual provider Active NPI

Luke Nathaniel Peters, BSN (ANRP STUDENT)

  • Registered Nurse
  • Vancouver, WA
National Provider Identifier
1396653192
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60908815 Issued in WA
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

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.