Catherine Elizabeth Peterson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

961 Issued in CO

Practice address

195 Kohl St
Broomfield, CO 80020-2127

Phone

(303) 466-6851

Fax

(720) 887-6747

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

No

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

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Rehabilitation Associates of Colorado PC

  • Physical Medicine & Rehabilitation Physician
  • Thornton, CO
  • NPI 1932272689
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1538417134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 KOHL ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202127",
            "telephone_number": "303-466-6851",
            "fax_number": "720-887-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 KOHL ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202127",
            "telephone_number": "303-466-6851",
            "fax_number": "720-887-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfect Teeth - West 120TH Avenue P.C.
• Stephanie Lynn Perri, LPC
• Susan K. Peters, MS, LPC
• Debra Jean Petersen, NP
• Derek Gene Petersen, D.D.S.
• Eric Peterson, PHARMD
• Jenna Peterson, MA, LPCC
• Rebecca Renee Peterson, CBE, CPD, CNA
• Adam Harrison Petrovich
• Kyla Pettie

• Medical Physician Assistant in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.