Stephen Lynn Peterson II

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

005988 Issued in AZ

Practice address

1350 S Ellsworth Rd Apt 1122
Mesa, AZ 85209-2809

Phone

(480) 326-8100

NPI assigned

Jan 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arizona Breathe Right LLC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1467006635
  NPD (past) Authorized official

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1821562885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S ELLSWORTH RD APT 1122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S ELLSWORTH RD APT 1122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092809",
            "telephone_number": "480-326-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "STEPHEN",
        "middle_name": "LYNN",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-13",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "1945208",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "AZ",
            "license": "005988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "480036",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Lee Peterson, P.A.
• Lesilie A Peterson, RDH
• Lindsey Peterson, RBT
• Robert Peterson, M.D.
• Sheryl L Peterson, CPNP
• Terry K Peterson, CH
• Todd G Peterson, MD
• Charlotte Petin, PA-C
• Katherine Lee Petkovich, DNP, RN, CPNP-PC
• Petrenella Homecare LLC

• Registered Respiratory Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Registered Respiratory Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.