Individual provider Active NPI

Ramona Peters, NP

  • Acute Care Nurse Practitioner
  • Valley Grande, AL
National Provider Identifier
1508529736
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-067218 Issued in AL
Practice address
15 Lawrence CV
Valley Grande, AL 36703-9304
Phone
(133) 407-4229
NPI assigned
Oct 14, 2021
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-067218 AL Primary

Addresses

Primary practice location

15 Lawrence CV
Valley Grande, AL 36703-9304

Mailing address

15 Lawrence CV
Valley Grande, AL 36703-9304
Phone (133) 407-4229

Other names 1

  • Mrs. Ramona Peters Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220810001093 AL Practitioner - Nurse Practitioner 2163805086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-067218ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skye Health LLC CurrentSince Jun 15, 2022 Accepting new patients
Skye Consultorio Medico LLC PastSince Jul 21, 2024 Accepting new patients

Locations

1107 N Eastern Blvd
Montgomery, AL 36117
Phone (334) 647-1444

7212 Copperfield Dr
Montgomery, AL 36117
Phone (334) 384-1141

Organizations & group practices 2

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1508529736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LAWRENCE CV",
            "city": "VALLEY GRANDE",
            "state": "AL",
            "postal_code": "367039304",
            "telephone_number": "133-407-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAWRENCE CV",
            "city": "VALLEY GRANDE",
            "state": "AL",
            "postal_code": "367039304",
            "telephone_number": "133-407-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "RAMONA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-067218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMONA",
            "last_name": "PETERS",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Valley Grande, AL

Sources for this page

Verify at the official NPI Registry.