Danielle Jo Peterson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7755 Office Plaza Dr N
Suite #105
West Des Moines, IA 50266-2339

Phone

(515) 505-7283

NPI assigned

Mar 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• KP Enterprises Iowa

  • Multi-Specialty Clinic/Center
  • Ankeny, IA
  • NPI 1518478684
  NPD (past)

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1851976815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 OFFICE PLAZA DR N STE 105",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662339",
            "telephone_number": "515-505-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 OFFICE PLAZA DR N",
            "address_2": "SUITE #105",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662339",
            "telephone_number": "515-505-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DANIELLE",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "822272447",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@axisaba.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "General Information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "7755 Office Plaza Dr N Ste 105",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502662339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Theresa Diane Petersen, RPH
• Ashley Wilke Peterson, APRN
• Brandon Keith Peterson, DDS
• Caitlyn Peterson
• Chelsea Peterson, T-LMHC
• Emily J Peterson, PA-C
• Ginni Marie Peterson, PT
• Jordan Dane Peterson, M.D.
• Kelley Ann Peterson, P.A.-C.
• Monica L Peterson, DO

• Behavior Technician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Behavior Technician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.