Active NPI
Leah A Peterson, RN
- Registered Nurse
- Hutchinson, MN
National Provider Identifier
1831430875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R 205925-3
- Practice address
- 246 S Main St
Prairie River Homecare
Hutchinson, MN 55350 - Phone
- (320) 587-5162
- NPI assigned
- Mar 14, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 205925-3 | MN | Primary |
Addresses
Primary practice location
246 S Main St
Prairie River Homecare
Hutchinson, MN 55350
Mailing address
246 S Main St
Prairie River Homecare
Hutchinson, MN 55350
Phone (320) 587-5162
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 205925-3 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1831430875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 S MAIN ST",
"address_2": "PRAIRIE RIVER HOMECARE",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "55350",
"telephone_number": "320-587-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 S MAIN ST",
"address_2": "PRAIRIE RIVER HOMECARE",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "55350",
"telephone_number": "320-587-5162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "LEAH",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-14",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 205925-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.