Rachael Ann Peterson, BSN, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

41550 Issued in WY

Practice address

801 E 4TH St Ste 7
Gillette, WY 82716-4061

Phone

(307) 299-9477

Fax

(855) 679-9725

NPI assigned

Apr 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kindred Souls of Wyoming LLC

  • Home Health Agency
  • Gillette, WY
  • NPI 1215660162
  NPD Authorized official

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1699417709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 4TH ST STE 7",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164061",
            "telephone_number": "307-299-9477",
            "fax_number": "855-679-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 4TH ST STE 7",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164061",
            "telephone_number": "307-299-9477",
            "fax_number": "855-679-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RACHAEL",
        "middle_name": "ANN",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WY",
            "license": "41550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aloraplus.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EHR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "801 E 4th St Ste 7",
            "city": "Gillette",
            "state": "WY",
            "country_code": "US",
            "postal_code": "827164061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelsey Nicole Petersen, MSN RN
• Clinton Jerome Petersen, D.C.
• Judeth Petersen, M.A., LPC
• Byron James Peterson
• Jeannie C Peterson
• Whitney Peterson
• Evan Pfeifer
• Ann R. Phillips, LPC
• Physical Therapy of Wyoming LLC
• Elizabeth Ann Pierson, MSW PCSW

• Home Health Registered Nurse in Gillette, WY
• Providers in Gillette, WY by specialty
• Home Health Registered Nurse in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.