Lawrence Carlton Peters, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C00614 CRNA Issued in AR

Practice address

623 E Matthews Ave
Suite C
Jonesboro, AR 72401-3145

Phone

(870) 934-8010

Fax

(870) 934-8010

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crews-Peters Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Jonesboro, AR
  • NPI 1376562595

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official
• Jonesboro Anesthesia Inc

  • Anesthesiology Physician
  • Jonesboro, AR
  • NPI 1043228448
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1437101086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 HIDDEN HILL CIR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046997",
            "telephone_number": "870-935-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 E MATTHEWS AVE",
            "address_2": "SUITE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013145",
            "telephone_number": "870-934-8010",
            "fax_number": "870-934-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LAWRENCE",
        "middle_name": "CARLTON",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C00614  CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard E Person, M.D.
• Personal Therapy of Northeast Ark
• Personal Therapy of Northeast Arkansas, Inc.
• Amanda Marie Peters, COTA
• James Peters
• Hannah Camille Pettit, MHPP
• Joshua Van Pettit, CRNA
• Bruce Phelix
• Tybrina D Phelps
• Philcare Medical Supplies Inc.

• Certified Registered Nurse Anesthetist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.