Active NPI
Peggy D Pearson, MD
- Psychiatry Physician
- Urbana, IL
National Provider Identifier
1841200045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036091758
- Practice address
- 1109 S Lincoln Ave
Urbana, IL 61801-4703 - Phone
- (217) 333-2705
- NPI assigned
- Aug 9, 2006
- Last updated
- Dec 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036091758 | IL | Primary |
Addresses
Primary practice location
1109 S Lincoln Ave
Urbana, IL 61801-4703
Mailing address
1109 S Lincoln Ave
Urbana, IL 61801-4703
Phone (217) 333-2705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1841200045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 S LINCOLN AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618014703",
"telephone_number": "217-333-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 S LINCOLN AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618014703",
"telephone_number": "217-333-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "PEGGY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036091758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.