Wilma Dean Peters, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R101792 Issued in MD

Practice address

102 Whites Gap Road
Berkeley Springs, WV 25411

Phone

(240) 405-6632

Fax

(304) 258-7992

NPI assigned

Jan 12, 2011

Last updated

Jan 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Wilma Dean Evans Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1467757187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WHITES GAP ROAD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "25411",
            "telephone_number": "240-405-6632",
            "fax_number": "304-258-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WHITES GAP ROAD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "25411",
            "telephone_number": "240-405-6632",
            "fax_number": "304-258-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "WILMA",
        "middle_name": "DEAN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R101792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILMA",
            "last_name": "EVANS",
            "middle_name": "DEAN",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Nurse in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.