Active NPI
Rebecca J Peterson, A.R.N.P.
- Nurse Practitioner
- Olympia, WA
National Provider Identifier
1700958030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30005731
- Practice address
- 3525 Ensign Rd NE Ste J
Olympia, WA 98506-5065 - Phone
- (360) 491-0459
- Fax
- (360) 491-5370
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30005731 | WA | Primary |
Addresses
Primary practice location
3525 Ensign Rd NE Ste J
Olympia, WA 98506-5065
Mailing address
3525 Ensign Rd NE Ste J
Olympia, WA 98506-5065
Phone (360) 491-0459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9630625 | Medicaid | WA |
Other names 1
- Becky J Peterson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100812000276 | WA | Practitioner - Nurse Practitioner | 3577697549 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30005731 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Options Consulting, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Medicine Physician
- Rochester, WA
- NPI 1235893876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1700958030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 ENSIGN RD NE STE J",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065065",
"telephone_number": "360-491-0459",
"fax_number": "360-491-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 ENSIGN RD NE STE J",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065065",
"telephone_number": "360-491-0459",
"fax_number": "360-491-5370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "REBECCA",
"middle_name": "J",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30005731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9630625",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BECKY",
"last_name": "PETERSON",
"middle_name": "J",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Olympia, WA
- Morrigan Piper Petersen, CPC
- Anneliese Mendenhall Peterson, CPM, LM
- Bonnie Louise Peterson
- John E Peterson, OD
- Malgorzata Dymerska Peterson, MD
- William W. Peterson, M.D.
- Jeffrey Robert Petra, PH.D.
- Brittany Brooke Petrie, DPT
- Petrina Gavrilis FNP-BC Arnp Family Health Care Services, LLC
- Megan Nicole Pettibone, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.