Annie C. Peterson

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

401025140110 Issued in OH

Practice address

17930 Parkmount Ave
Cleveland, OH 44135-4127

Phone

(216) 362-6074

NPI assigned

Feb 22, 2011

Last updated

Nov 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1427355718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17930 PARAMOUNT AVE.",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441354127",
            "telephone_number": "216-804-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17930 PARKMOUNT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441354127",
            "telephone_number": "216-362-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ANNIE",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401025140110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melaney Peters
• Stephanie Peters
• Hilary B Petersen, PA
• Mary Elizabeth Petersen, M.A. CCC-SLP
• Toni Petersen, MS, OTR/L
• Caitlin Peterson
• Cheryl Anne Peterson, M.A. CCC-SLP
• Corah Nicole Peterson
• Donna Peterson
• Emily Peterson, MS, RD, CNSC

• Nurse's Aide in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.