Individual provider Active NPI

Lana Johnson Peta, APRN, FNP-BC

  • Family Nurse Practitioner
  • Weston, MA
National Provider Identifier
1740538867
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN225742 Issued in MA
Practice address
235 Wellesley St
Attn: Health Services
Weston, MA 02493-1545
Phone
(781) 768-7290
Fax
(781) 768-7288
NPI assigned
Aug 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN225742 MA Primary

Addresses

Primary practice location

235 Wellesley St
Attn: Health Services
Weston, MA 02493-1545

Mailing address

235 Wellesley St
Attn: Health Services
Weston, MA 02493-1545
Phone (781) 768-7290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915001538 MA Practitioner - Nurse Practitioner 0446614960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

578 Huntington Ave
Suite 202
Boston, MA 02115-5902
Phone (888) 972-1912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN225742MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Aug 1, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Aug 1, 2023 Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1740538867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WELLESLEY ST",
            "address_2": "ATTN: HEALTH SERVICES",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931545",
            "telephone_number": "781-768-7290",
            "fax_number": "781-768-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WELLESLEY ST",
            "address_2": "ATTN: HEALTH SERVICES",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931545",
            "telephone_number": "781-768-7290",
            "fax_number": "781-768-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETA",
        "first_name": "LANA",
        "middle_name": "JOHNSON",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN225742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, MA

Sources for this page

Verify at the official NPI Registry.