Active NPI
Katie Van Hoof Peterson, SA-C
- Surgical Assistant
- Alexandria, LA
National Provider Identifier
1881065647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 3311 Prescott Rd Ste 202
Alexandria, LA 71301-3983 - Phone
- (318) 442-0106
- Fax
- (318) 448-8918
- NPI assigned
- Oct 19, 2015
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
3311 Prescott Rd Ste 202
Alexandria, LA 71301-3983
Mailing address
3311 Prescott Rd Ste 202
Alexandria, LA 71301-3983
Phone (318) 442-0106
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Cardiovascular & Thoracic Institute, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Alexandria, LA
- NPI 1104984293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1881065647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 PRESCOTT RD STE 202",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013983",
"telephone_number": "318-442-0106",
"fax_number": "318-448-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 PRESCOTT RD STE 202",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013983",
"telephone_number": "318-442-0106",
"fax_number": "318-448-8918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "KATIE",
"middle_name": "VAN HOOF",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.