Rose Christine Peterson, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400387-1 Issued in NY

Practice address

8 Jennifer LN
Middle Island, NY 11953-3005

Phone

(631) 504-6487

Fax

(631) 504-6487

NPI assigned

Dec 28, 2010

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)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1548564966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JENNIFER LN",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119533005",
            "telephone_number": "631-504-6487",
            "fax_number": "631-504-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JENNIFER LN",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119533005",
            "telephone_number": "631-504-6487",
            "fax_number": "631-504-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ROSE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400387-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Pelosi, MA
• Christian David Pena
• Meghan C. Penkower, M.A.
• Alyssa Lynne Perillo, B.A.
• Kimberly Perone, MS, OTR/L
• Lynn Picucci, SLP
• Justin Pleasant, CASAC-T
• Michelle Ploegman
• William Joseph Poerio
• Barbara Ann Porrini

• Psychiatric/Mental Health Nurse Practitioner in Middle Island, NY
• Providers in Middle Island, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.