Emily A Peters, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD7192 Issued in OH

Practice address

5202 Bethel Reed Park
Suite 100
Columbus, OH 43220-1818

Phone

(614) 447-9495

Fax

(614) 447-9163

NPI assigned

Feb 18, 2016

Last updated

Feb 9, 2017By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1508225590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 BETHEL REED PARK",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201818",
            "telephone_number": "614-447-9495",
            "fax_number": "614-447-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 BETHEL REED PARK",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201818",
            "telephone_number": "614-447-9495",
            "fax_number": "614-447-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD7192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166328",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter J. Ahn, D.D.S., LLC (Community Dental at Minerva Park)
• Conrod O Peterkin, LPN
• Anne Cecilia Peters
• Brittany Nicole Peters, CNP
• Connie M Peters, LISW
• Eric Peters, PTA
• Gloria Peters
• James Calvin Peters, M.ED., ATC, PTA
• Jennifer A Peters, LISW-S
• Jennifer Sand Peters, PHARMD

• Registered Dietitian in Columbus, OH
• Providers in Columbus, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.