Ginny M Peter, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209007891 Issued in IL

Practice address

224 Bradford LN
Waterloo, IL 62298-3369

Phone

(618) 939-0112

NPI assigned

Dec 7, 2009

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

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21224/brand/1/csg/1/fhir/r4

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.

• Heart to Heart Pediatrics LLC

  • Pediatric Nurse Practitioner
  • Waterloo, IL
  • NPI 1376192567

  Pediatrics

  NPD Authorized official
• St .Clair Pedaitrics, LLC

  • Pediatrics Physician
  • Swansea, IL
  • NPI 1073705737
  NPD (past)

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1831427657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BRADFORD LN",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622983369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BRADFORD LN",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622983369",
            "telephone_number": "618-939-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "GINNY",
        "middle_name": "M",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209007891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly C Paul-Munie, MA, CCC-SLP
• Linda Peck
• Beverly Penermon, RSA
• Kimberly Ann Pennock, LCSW
• Drew Thomas Pentland, PHARM D
• Olivia Peterson, RSA
• Yvonne Petito, MA, LSW
• Rabecca Phegley, M.S. CCC-SLP
• Katie Phelps, RSA
• Jay A Pickett, MD

• Pediatric Nurse Practitioner in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.