Ann Kathryn Peterson, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

60227030 Issued in WI

Practice address

2239 S 108TH St
West Allis, WI 53227-1107

Phone

(414) 541-2772

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1811019672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 WILSON BLVD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261742",
            "telephone_number": "414-302-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271107",
            "telephone_number": "414-541-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ANN",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "60227030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Perkins, M.S.
• Breanna Dinneen Perron, LPC-IT, SAC
• Antonia Perry, RN
• Douglas Persich, DDS
• Personal Care Plus Agency
• Emily Bella Herff Peterson, PA
• Jesse Peterson
• Justin William Peterson, D.O.
• Luke T Peterson
• Mackenzie Peterson, RN

• Nurse Practitioner in West Allis, WI
• Providers in West Allis, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.