Cortney Helen Peterson, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0001211426 Issued in VA

Practice address

8921 Three Chopt Rd
Suite 300
Richmond, VA 23229-4601

Phone

(804) 285-9416

Fax

(804) 285-0840

NPI assigned

Aug 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1770916546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 THREE CHOPT RD",
            "address_2": "SUITE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294601",
            "telephone_number": "804-285-9416",
            "fax_number": "804-285-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 THREE CHOPT RD",
            "address_2": "SUITE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294601",
            "telephone_number": "804-285-9416",
            "fax_number": "804-285-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CORTNEY",
        "middle_name": "HELEN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001211426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirklen Elaine Petersen, MD
• Mona Juanita Peterson-Omotola, PH.D. LCPC-AC
• Amity Peterson, DO, PH.D.
• Andrew G Peterson
• Blake Richard Peterson
• Leslie Ellen Peterson, FNP-C
• Michael Scott Peterson, O.D.
• Sarah Laine Peterson, PA-C
• Tamara Peterson
• Rajanya Petersson, MD

• Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.