Individual provider Active NPI

Ashley Glaudi Peterson, FNP

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1780190637
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09655 Issued in LA
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

Updated by the provider on Sep 11, 2018

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 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 Professional name

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

LicenseStateTypeSpecialty
AP09655LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Spine and Wellness CurrentSince Aug 25, 2024 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.

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.

Verify at the official NPI Registry.