Joseph A Petersen Sr.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

6540 Pflumm Rd
Shawnee Mission, KS 66216-2406

Phone

(913) 631-1958

Fax

(913) 631-5443

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881716652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 PFLUMM RD",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662162406",
            "telephone_number": "913-631-1958",
            "fax_number": "913-631-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 PFLUMM RD",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662162406",
            "telephone_number": "913-631-1958",
            "fax_number": "913-631-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brant Peoples, PHARMD
• John Evaristo Perez III, MD
• Joseph B Petelin, M.D.
• Leonard A. Peters, CRNA
• Joseph A Petersen Jr.
• Leah Petersen, RPT
• Maria Petersen, ARNP
• John E Peterson, MD
• Nicole Petrillo, MD
• Alanna Marie Pfister, RN, APRN, AGACNP-BC

• All providers in Shawnee Mission, KS
• Personal Care Attendant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.