Active NPI
David Petersen, R.N.
- Orthopedic Registered Nurse
- Royal Palm Beach, FL
National Provider Identifier
1669454062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Registered Nurse
- License
- RN 2555352
- Practice address
- 460 State Rd #7
Ste 300
Royal Palm Beach, FL 33411 - Phone
- (561) 798-6600
- Fax
- (561) 204-2042
- NPI assigned
- Nov 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Registered Nurse | 163WX0800X | RN 2555352 | FL | Primary |
Addresses
Primary practice location
460 State Rd #7
Ste 300
Royal Palm Beach, FL 33411
Mailing address
10131 W. Forest Hill Blvd
Ste 230
West Palm Beach, FL 33414
Phone (561) 798-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y9142 | Other | FL | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 2555352 | FL | MD | Orthopedic Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669454062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10131 W. FOREST HILL BLVD",
"address_2": "STE 230",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33414",
"telephone_number": "561-798-6600",
"fax_number": "561-204-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 STATE RD #7",
"address_2": "STE 300",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "33411",
"telephone_number": "561-798-6600",
"fax_number": "561-204-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "DAVID",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "FL",
"license": "RN 2555352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "Y9142",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.