Rebecca Marie Petersen, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1856

Practice address

7550 France Ave S Ste 240
Edina, MN 55435-4821

Phone

(952) 830-8017

NPI assigned

Sep 5, 2017

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

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1619495108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 PILGRIM LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413256",
            "telephone_number": "19528308017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE S STE 240",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354821",
            "telephone_number": "952-830-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": "1856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Linnea Peters, MS, PA-C
• Allison Wichmann Petersen, PA
• Douglas George Petersen, DDS
• Juliette E Petersen, MD
• Krista Kelly Petersen
• Victoria Peterson-Hilleque, LP
• Allison Kay Peterson, M.A., L.P.
• Amanda Ann Peterson, RD
• Daniel B Peterson, MD
• Daniel Lee Peterson, PA-C

• Acupuncturist in Edina, MN
• Providers in Edina, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.