Active NPI
Catherine Peters
- Student in an Organized Health Care Education/Training Program
- Surprise, AZ
National Provider Identifier
1811374473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 13985 W Grand Avenue
Surprise, AZ 85374 - Phone
- (623) 251-2884
- NPI assigned
- May 4, 2015
- Last updated
- May 4, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
13985 W Grand Avenue
Surprise, AZ 85374
Mailing address
13985 W Grand Avenue
Surprise, AZ 85374
Phone (623) 251-2884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R60497545 | Other | AZ | BLUECROSS BLUESHIELD |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1811374473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13985 W GRAND AVENUE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "85374",
"telephone_number": "623-251-2884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13985 W GRAND AVENUE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "85374",
"telephone_number": "623-251-2884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-04",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "R60497545",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.