Petersen Anesthesia Services

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PETERSEN ANESTHESIA SERVICES

Practice address

5085 Park Rd
Suite 180B
Plano, TX 75093-2593

Phone

(713) 812-7286

NPI assigned

Apr 17, 2017

Organization subpart

No

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

Authorized official

Name

Kristen Petersen

Title

Owner/Provider

Phone

(214) 244-1756

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1508390519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473080112",
            "telephone_number": "765-284-0493",
            "fax_number": "765-284-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 PARK RD",
            "address_2": "SUITE 180B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932593",
            "telephone_number": "713-812-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSEN ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "214-244-1756"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter R. Barnett, DMD, P.a.
• Mark A Peterman, MD
• Kaitlin Peters, LPC
• Kari Peters, LPC
• Kelly Peters, PA-C
• Matthew Leif Peterson, LPC
• James Joseph Petrikas Sr., DO
• Trent Leon Pettijohn, MD
• Juliane Pettitt, LVN
• Rodney Vaughn Peveto, M.D.

• Certified Registered Nurse Anesthetist in Plano, TX
• Providers in Plano, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

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