Patricia Ann Peterson

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

5905 Sir Henry Rd
Orlando, FL 32808-3323

Phone

(321) 695-5708

NPI assigned

Jul 10, 2011

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

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

{
    "created_epoch": "1310256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310256000000",
    "number": "1841587961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 SIR HENRY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083323",
            "telephone_number": "321-695-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 SIR HENRY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083323",
            "telephone_number": "321-695-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-10",
        "last_updated": "2011-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Brian Peterson, PH.D., HSP
• Dynesha Dorthea Peterson, LAT, ATC
• Jaxon Peterson
• Kent G. Peterson, LMHC
• Kimberly K Peterson, OTR/L
• Shane Stean Peterson, DO
• Ima Petion
• Marie Fabiola Petion
• Fredely Petiote, M.D.
• Yolande Petit Frere

• Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2011; 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.