Farronda Peterson

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

3230 Spicer Ave
Grand Island, FL 32735-9017

Phone

(352) 702-6360

NPI assigned

Oct 21, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Peterson'S Care at Hand

  • Home Health Agency
  • Grand Island, FL
  • NPI 1710438999
  NPD (past) Authorized official

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1548711724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 SPICER AVE",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327359017",
            "telephone_number": "352-702-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 SPICER AVE",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327359017",
            "telephone_number": "352-702-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "FARRONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005563700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia McKenzie
• Mission Momentum ABA, Inc.
• Amanda Moore, BCBA
• Ericka L Moore, IBCLC
• Noahs Ark Transportation LLC
• Peterson'S Care at Hand
• Kevin Roberts, FNP-C
• Serenitude Bloom, LLC
• Porche Simmons
• Phuong Helene Ta, DDS

• Personal Care Attendant in Grand Island, FL
• Providers in Grand Island, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.