Active NPI
Meagan Peterson, FNP
- Family Nurse Practitioner
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 904390
- Practice address
- 648 Crestwood Blvd
Covington, LA 70433-8261 - Phone
- (985) 805-6721
- NPI assigned
- Sep 6, 2020
- Last updated
- May 9, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 904390 | MS | Primary |
Addresses
Primary practice location
648 Crestwood Blvd
Covington, LA 70433-8261
Mailing address
648 Crestwood Blvd
Covington, LA 70433-8261
Phone (985) 805-6721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
648 Crestwood Blvd
Covington, LA 70433-8261
Phone (985) 805-2555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904390 | MS | MD | Family Nurse Practitioner |
| 903659 | MS | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Care of Louisiana, LLC | Current | Accepting new patients | |
| Neurocare of the South, PLLC | Current | Accepting new patients | |
| SDL Medical Services, LLC | Past | Accepting new patients |
Locations
5001 Highway 190 East Service Rd
Ste D6
Covington, LA 70433
Phone (504) 444-7786
648 Crestwood Blvd
Covington, LA 70433
Phone (985) 288-1600
106 Smart Pl
Slidell, LA 70458
Phone (504) 486-5353
202C Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 463-8939
6766 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 255-0010
134 Marion Ave
McComb, MS 39648
Phone (601) 557-2555
2965 Harrison Ave
Ste 217
Beaumont, TX 77702
Phone (409) 203-3055
427 W 20th St
Ste 203
Houston, TX 77008
Phone (713) 863-0114
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HBABBD
Organizations & group practices 3
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.
-
- Neurology Physician
- Houston, TX
- NPI 1588312615
-
dba Liberty Interventional Pain
- Interventional Pain Medicine Physician
- Slidell, LA
- NPI 1073046884
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
dba Northlake Pulmonary Associates at St Tammany Parish Hospital
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1447864491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 CRESTWOOD BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338261",
"telephone_number": "985-805-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 CRESTWOOD BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338261",
"telephone_number": "985-805-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "MEAGAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-06",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "904390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.