Active NPI
Ashley Glaudi Peterson, FNP
- Family Nurse Practitioner
- Covington, LA
National Provider Identifier
1780190637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09655
- Practice address
- 5001 Highway 190 East Service Rd Ste D
Covington, LA 70433-4930 - Phone
- (985) 805-2555
- Fax
- (985) 400-5303
- NPI assigned
- Dec 14, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP09655 | LA | Primary |
Addresses
Primary practice location
5001 Highway 190 East Service Rd Ste D
Covington, LA 70433-4930
Mailing address
5001 Highway 190 East Service Rd Ste D
Covington, LA 70433-4930
Phone (985) 805-2555
Other practice location 1
433 Plaza St Ste 3A
Bogalusa, LA 70427-3729
Phone (985) 730-6970
Other names 1
- Ashley Glaudi Peterson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP09655 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Spine and Wellness | Current | Accepting new patients |
Locations
3648 Pontchartrain Dr
#100
Slidell, LA 70458
Phone (985) 707-7747
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.
-
- Chiropractor
- Slidell, LA
- NPI 1205264090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1780190637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 HIGHWAY 190 EAST SERVICE RD STE D",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334930",
"telephone_number": "985-805-2555",
"fax_number": "985-400-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 HIGHWAY 190 EAST SERVICE RD STE D",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334930",
"telephone_number": "985-805-2555",
"fax_number": "985-400-5303"
}
],
"practiceLocations": [
{
"address_1": "433 Plaza St Ste 3A",
"address_purpose": "LOCATION",
"city": "Bogalusa",
"state": "LA",
"postal_code": "704273729",
"country_code": "US",
"telephone_number": "985-730-6970",
"fax_number": "985-730-7269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "ASHLEY",
"middle_name": "GLAUDI",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-14",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP09655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "PETERSON",
"middle_name": "GLAUDI",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.