Kathleen Lavonne Peterson

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

343 Fairview Dr Ste 101
Carson City, NV 89701-5389

Phone

(775) 887-5683

NPI assigned

May 24, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1619534633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 AMBER ST",
            "city": "SILVER SPRINGS",
            "state": "NV",
            "postal_code": "894299328",
            "telephone_number": "775-223-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 FAIRVIEW DR STE 101",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015389",
            "telephone_number": "775-887-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KATHLEEN",
        "middle_name": "LAVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter N Costa, MD
• Peter N Costa, MD, LTD
• Jennifer K Peters, APRN
• Christina Marie Petersen, MS
• Jennifer Lynne Peterson Highley, O.D.
• Kevin Mark Peterson, D.D.S.
• Jodi A Pettersen, R.D.
• Cynthia Pham
• Crystal Phares, MD
• Sheree L Pharris, APN

• Attendant Care Provider in Carson City, NV
• Providers in Carson City, NV by specialty
• Attendant Care Provider in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.