Individual provider Active NPI

Katherine Peters, N.P.

  • Nurse Practitioner
  • Mill Valley, CA
National Provider Identifier
1497881247
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19403 Issued in CA
Practice address
7 Overhill Rd
Mill Valley, CA 94941-1342
Phone
(410) 707-8360
Fax
(415) 353-2334
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R122240 MD
Nurse Practitioner 363L00000X 19403 CA Primary

Addresses

Primary practice location

7 Overhill Rd
Mill Valley, CA 94941-1342

Mailing address

7 Overhill Rd
Mill Valley, CA 94941-1342
Phone (410) 707-8360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200110000246 CA Practitioner - Nurse Practitioner 1254766769 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R122240MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Dept of Surgery CurrentSince Dec 12, 2019 Accepting new patients
University of California San Francisco CurrentSince Dec 12, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Dec 12, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 12, 2019 Accepting new patients
UCSF Pediatrics Associates CurrentSince Dec 12, 2019 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Dec 12, 2019 Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Interoperability endpoints

  • Direct secure messaging: kpeters9864@direct-ucsfmedicalcenter.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1497881247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OVERHILL RD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411342",
            "telephone_number": "410-707-8360",
            "fax_number": "415-353-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OVERHILL RD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411342",
            "telephone_number": "410-707-8360",
            "fax_number": "415-353-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KATHERINE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R122240",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "19403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.