Toni Lisa Peterson, R.N.
Individual provider Active NPI Registered Nurse · Fredonia, KS
NPI 1891028643 · NPPES record last updated Sep 11, 2009
Key facts
- NPI
- 1891028643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 13-91254-041 (KS)
- Practice address
- 1527 Madison St
Fredonia, KS 66736-1751 - Phone
- (620) 378-2121
- NPI assigned
- Sep 11, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-91254-041 | KS | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 13-91254-041 | KS | Yes |
Addresses
Primary practice location
1527 Madison St
Fredonia, KS 66736-1751
Mailing address
3600 Gabriel Ave Apt 301
Apt 301
Parsons, KS 67357-2165
Phone (620) 423-9148
Other names
- Ms. Toni Lisa McCaleb
Other providers in Fredonia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.