Jade Marie Peterson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R32470 Issued in ND

Practice address

N10 North River Road
Fort Yates, ND 58538-0527

Phone

(701) 854-3831

Fax

(701) 854-3685

NPI assigned

Jun 26, 2008

Last updated

Jun 26, 2008By the provider in NPPES

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1558523969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX J",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "585380527",
            "telephone_number": "701-854-3831",
            "fax_number": "701-854-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N10 NORTH RIVER ROAD",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "585380527",
            "telephone_number": "701-854-3831",
            "fax_number": "701-854-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JADE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R32470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick James Nagel, LPN
• Christopher Nguyen
• Thuytien Nguyen, PHARM.D.
• Lisa Oswald, RN
• Christine Grace Peterson, DDS
• Kennedy Emma Isabelle Pleets
• Sol A Prebus, MD
• Leedawn M Ramsey
• William H Ridley Jr.
• Sarah Rippley, EMTP

• Registered Nurse in Fort Yates, ND
• Providers in Fort Yates, ND by specialty
• Registered Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.