Christine Maria Peterson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

430 Issued in NM

Practice address

2100 S Triviz Dr
Suite G
Las Cruces, NM 88001-0605

Phone

(575) 556-1849

NPI assigned

Mar 1, 2017

Last updated

Mar 1, 2017By 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

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.

• Las Cruces Physician Practices, LLC

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1356390769
  NPD (past)

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1598205189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "address_2": "MEMORIAL MEDICAL CENTER",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115141",
            "telephone_number": "575-521-5042",
            "fax_number": "575-521-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S TRIVIZ DR",
            "address_2": "SUITE G",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880010605",
            "telephone_number": "575-556-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTINE",
        "middle_name": "MARIA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Touch Home Care LLC
• Perview Inc
• Mary P Peschka, OTR
• Mathew C Petersen, DDS
• Alexandra Sage Peterson
• Crysta Peterson, PHARMD
• Debra Lynn Peterson, LMHC
• Joann Peterson
• Lisa S Peterson, PHD
• Luke Peterson

• Registered Dietitian in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Registered Dietitian in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.