Kerry Ann Peterson, PHD, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0990196-NP Issued in CO

Practice address

13120 E 19TH Ave # C288-5
Aurora, CO 80045-2567

Phone

(303) 724-1362

NPI assigned

Mar 3, 2016

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

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487014338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13120 E 19TH AVE # C288-5",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452567",
            "telephone_number": "303-724-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13120 E 19TH AVE # C288-5",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452567",
            "telephone_number": "303-724-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183733",
            "country_code": "US",
            "telephone_number": "719-255-5156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183733",
            "country_code": "US",
            "telephone_number": "719-255-5156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KERRY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD, DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0990196-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Paige Peterson, MD
• Brookelyn Marie Peterson, PHARMD
• Elizabeth Frances Peterson, M.A.,CCC-SLP
• Glen Peterson, NP
• John E Peterson, MD
• Lakedra Peterson, RN
• Laura Lynn Peterson, LPC
• Melissa B Peterson, MD
• Nicholas Lee Peterson, DDS
• Paige Alexia Peterson, MD

• Psychiatric/Mental Health Nurse Practitioner in Aurora, CO
• Providers in Aurora, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.