Virginia Marie Peterson, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F302610-1 Issued in NY

Practice address

26 Leroy St
Dix Hills, NY 11746-6644

Phone

(631) 940-7642

NPI assigned

Sep 13, 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

Other identifiers 1

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1619284551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LEROY ST",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466644",
            "telephone_number": "631-940-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 LEROY ST",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466644",
            "telephone_number": "631-940-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "VIRGINIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302610-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "2E2181",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Crystal Pedone, DO
• Irene Penny, OTRL
• Dharani Perera
• Hallie Perri
• Teta Peters
• Gayle Barbara Petigrow, PSY.D.
• Benjamin Pfeffer
• Physical Therapy Care of Ny, PC
• Physician Assistant Consulting PC
• Jacqueline Picone

• Adult Health Nurse Practitioner in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.