Shianna Peters, MS, RN

Primary specialty

Nutrition Support Registered NurseTaxonomy code 163WN1003X

License

NUR-RN-LIC-70321 Issued in MT

Practice address

389 Stoneridge Dr
Kalispell, MT 59901-7696

Phone

(406) 871-0291

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1891478582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 STONERIDGE DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017696",
            "telephone_number": "406-871-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 STONERIDGE DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017696",
            "telephone_number": "406-871-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SHIANNA",
        "credential": "MS, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "MT",
            "license": "NUR-RN-LIC-70321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen N Perser, MD
• Peter Ivey LLC
• Alexandra Vleisides Peterman
• Dawn Peters, N.P.
• Haley C Peters, FNP-BC
• Sonia Lynn Petersen, OT
• Dennis Lee Peterson, M.D.
• Evelyn Peterson, MD
• Becky Ann Petrashek, RN
• Jaime Petro, DPT

• Registered Nurse in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Registered Nurse in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.