Emma Peterson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

MED-NUTR-LIC-69119 Issued in MT

Practice address

900 N Orange St Ste 304
Missoula, MT 59802-2951

Phone

(406) 329-5781

Fax

(406) 327-3331

NPI assigned

Oct 12, 2018

Last updated

Nov 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1801361183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190012",
            "telephone_number": "406-329-5781",
            "fax_number": "406-327-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST STE 304",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022951",
            "telephone_number": "406-329-5781",
            "fax_number": "406-327-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 12th Ave N Ste 160W",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591017508",
            "country_code": "US",
            "telephone_number": "406-237-8500",
            "fax_number": "406-237-8501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "EMMA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "69119",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "MED-NUTR-LIC-69119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine B Peterson-Hale, MD
• Anna Louise Peterson, ED.D, LCPC
• Brad Peterson, M.D.
• Dionne Renee Peterson, RN
• Emelyn Peterson, LCSW, MSW, MA/SSP
• Gary Ray Peterson, DDS
• Hannah Kristina Peterson, BSN, RN, CWON
• Keri Peterson, PA-C
• Laurel Peterson, LMT
• Lee Ann Peterson, PHARMD

• Registered Dietitian in Missoula, MT
• Providers in Missoula, MT by specialty
• Registered Dietitian in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.