Taya Peterson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

NURR37576 Issued in AK

Practice address

19023 Trail Bay Dr
Eagle River, AK 99577-8590

Phone

(907) 223-5918

NPI assigned

Oct 13, 2015

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

• Taya Marie Tabbal 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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1477924660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19023 TRAIL BAY DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778590",
            "telephone_number": "907-223-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19023 TRAIL BAY DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778590",
            "telephone_number": "907-223-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TAYA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NURR37576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYA",
            "last_name": "TABBAL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Peters
• Corby J Petersen, LCSW
• Bailey Peterson
• Bridgit Rose Peterson, RBT
• Elysia Peterson, PT
• Tonya Marie Peterson
• Rebecca Petry
• James J Pfeiffer, CRNA
• Anthony Phillips, LMT
• Vanessa Pickens, OTR/L

• Registered Nurse in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.