Active NPI
Kelcey Peterson
- Home Health Aide
- Raleigh, NC
National Provider Identifier
1427480839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 374U00000X
- Practice address
- 2621 Garden Knoll LN
Raleigh, NC 27614-8971 - Phone
- (919) 723-8789
- NPI assigned
- Aug 7, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 374U00000X | NC | Primary |
Addresses
Primary practice location
2621 Garden Knoll LN
Raleigh, NC 27614-8971
Mailing address
2621 Garden Knoll LN
Raleigh, NC 27614-8971
Phone (919) 723-8789
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374U00000X | NC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1427480839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 GARDEN KNOLL LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276148971",
"telephone_number": "919-723-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 GARDEN KNOLL LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276148971",
"telephone_number": "919-723-8789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "KELCEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "374U00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.