Kirsten Elizabeth Petersen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4387 Issued in NC

Practice address

122 Riverside Dr Ste G
Asheville, NC 28801-3193

Phone

(828) 620-4932

NPI assigned

Nov 7, 2006

Last updated

Oct 7, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Renew Chiropractic, LLC

  • Chiropractor
  • Portland, OR
  • NPI 1780709527
  NPD (past) Authorized official
• McMillan Chiropractic, LLC

  dba Renew Chiropractic Clinic

  • Clinic/Center
  • Portland, OR
  • NPI 1285056283
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1518036995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 RIVERSIDE DR STE G",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013193",
            "telephone_number": "828-620-4932",
            "fax_number": "828-237-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 RIVERSIDE DR STE G",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013193",
            "telephone_number": "828-620-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "KIRSTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Sumarriva Peters, MD
• Mark S Peters, PA-C
• Shannon Renee Peters, OTR/L
• Petersen Chiropractic, PLLC (Welcome Wellness)
• Kayla Mae Petersen, D.O.
• Sarah Michelle Petersen, LCMHCA
• Ann Marie Peterson, L.AC.
• Christopher Britt Peterson, MD
• Edward Grant Peterson, LCSW
• Emily Peterson, PHARMD

• Chiropractor in Asheville, NC
• Providers in Asheville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.