Active NPI
Jane M Peterson, APN
- Women's Health Nurse Practitioner
- Cleveland, OH
National Provider Identifier
1427378728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- COA.02264.NP
- Practice address
- 7997 Euclid Avenue
Cleveland, OH 44103-4226 - Phone
- (216) 851-1880
- Fax
- (216) 707-9370
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- 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 | RN196717 | OH | |
| Women's Health Nurse Practitioner | 363LW0102X | COA.02264.NP | OH | Primary |
Addresses
Primary practice location
7997 Euclid Avenue
Cleveland, OH 44103-4226
Mailing address
7997 Euclid Avenue
Cleveland, OH 44103-4226
Phone (216) 851-1880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3069683 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN196717 | OH | MD | Registered Nurse |
| COA.02264.NP | OH | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1427378728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7997 EUCLID AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441034226",
"telephone_number": "216-851-1880",
"fax_number": "216-707-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7997 EUCLID AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441034226",
"telephone_number": "216-851-1880",
"fax_number": "216-707-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JANE",
"middle_name": "M",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN196717",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OH",
"license": "COA.02264.NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3069683",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.