Peggie Annmarie Decoteau, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

705612 Issued in CA

Practice address

Baker Places
101 Cough St
San Francisco, CA 94103

Phone

(415) 777-0333

NPI assigned

Nov 12, 2020

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1649872920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 41ST AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946014308",
            "telephone_number": "510-495-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAKER PLACES",
            "address_2": "101 COUGH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94103",
            "telephone_number": "415-777-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOTEAU",
        "first_name": "PEGGIE",
        "middle_name": "ANNMARIE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "705612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Dineen Decker, N.P.
• Hannah Decker, MD
• Kerry Anne Decker, NP
• Matthew Decker
• Patricia Ann Decker
• Rikki Mantell Dectis, RN
• Margaret Anne Decuir, AMFT
• Yasmin Kolsum Decuire, PSYCHOTHERAPIST
• Alison M Dedent, MD
• Raj Dedhia

• Licensed Vocational Nurse in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.