Charity Faith Peterson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

820913 Issued in MN

Practice address

814 N 11TH St
Montevideo, MN 56265-1629

Phone

(320) 269-2222

NPI assigned

Oct 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Charity Faith Kittelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1710707641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 STATE RD",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652210",
            "telephone_number": "320-226-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N 11TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651629",
            "telephone_number": "320-269-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHARITY",
        "middle_name": "FAITH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "820913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "KITTELSON",
            "middle_name": "FAITH",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Rose Orr, MD
• Brandon Osbon, MD
• Ashley Jo Patton, DDS
• Amy Lee Pederson, RN, BSN
• Alicia Peterson, APRN, CNP, CNM
• Wanique Anne Peterson
• Stephanie Darlene Poppe, APRN, CNP
• Prairie Five Rides
• Prairie Sound Hearing
• Preferred Health of Montevideo, P.a.

• All providers in Montevideo, MN
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.