Lois Ann Peters, BSN, RN, PHN, CLC

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

R190152-2 Issued in MN

Practice address

2200 23Rd St NE
Suite 1080
Willmar, MN 56201-6605

Phone

(320) 522-4674

Fax

(320) 231-7888

NPI assigned

Apr 23, 2013

Last updated

Apr 23, 2013By the provider in NPPES

Sex

Female

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)

Not enrolled

Credentials

Bachelor on Science - Nursing, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Kandiyohi

  dba Kandiyohi County Public Health

  • Public Health or Welfare Agency
  • Willmar, MN
  • NPI 1073676540
  NPD (past)

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1437593266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 23RD ST NE",
            "address_2": "SUITE 1080",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562016605",
            "telephone_number": "320-522-4674",
            "fax_number": "320-231-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 23RD ST NE",
            "address_2": "SUITE 1080",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562016605",
            "telephone_number": "320-522-4674",
            "fax_number": "320-231-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LOIS",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "BSN, RN, PHN, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R190152-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian R Paulson, D.C.
• Jennilee Pearson
• Colleen Marie Pederson, LMFT
• Brandon Pellaton, LICSW
• Jennifer A Pesola, DO
• Rebecca Jean Petersen, LPN PE
• Brett Wayne Peterson, D.C.
• Eric Julian Peterson, CRNA,MSN
• Jason D Peterson, D.C.
• Melissa Ann Peterson, LPCC

• Community Health Registered Nurse in Willmar, MN
• Providers in Willmar, MN by specialty
• Community Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.