Linda Louise Petersen, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R091131-9 Issued in MN

Practice address

255 Smith Ave N
Suite 200
Saint Paul, MN 55102-2572

Phone

(651) 726-2787

NPI assigned

Aug 19, 2006

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

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

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730294067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 ARIEL ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551092852",
            "telephone_number": "651-777-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SMITH AVE N",
            "address_2": "SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022572",
            "telephone_number": "651-726-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "LINDA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R091131-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clairessa Elaine Petersen
• Haley Petersen
• John Robert Petersen, D.C.
• Karl John Petersen, DDS
• Katherine A Petersen, C.N.P.
• Mitchell Petersen
• Peterson & Peterson DDS PA
• Peterson Dental PA
• Abigail Ellen Peterson, M.D.
• Amanda Flowers Peterson

• Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.