Marcia Kay Peterson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

2203783466 Issued in LA

Practice address

1501 Newton St
New Orleans, LA 70114-2562

Phone

(504) 875-3498

NPI assigned

Nov 20, 2018

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

State licenses

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1861961823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700731296",
            "telephone_number": "504-405-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NEWTON ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701142562",
            "telephone_number": "504-875-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MARCIA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "2203783466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Ashley Peters
• Christine Elizabeth Peterson, PA-C
• Diana Moustoukas Peterson, MD
• Halloran Peterson, MD
• Kelley Simone Peterson, CSW
• Tim Gerard Peterson, M.D.
• Tyler Peterson
• Tyra Peterson, B.A.
• Amonti Amire Petetant
• Angelletta Petit

• Case Manager/Care Coordinator in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.