Autumn Storm Peterson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

401 W Spring St
Titusville, PA 16354-2169

Phone

(814) 775-0555

NPI assigned

Jun 2, 2026

Last updated

Jun 2, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1891627857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 STATE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W SPRING ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163542169",
            "telephone_number": "814-775-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16332 Conneaut Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163353806",
            "country_code": "US",
            "telephone_number": "814-337-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "AUTUMN",
        "middle_name": "STORM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Dawn Orris, CPD
• Renu Paneru, MD
• Jeremy Thomas Parsons
• Penn Neuromuscular Diagnostics, LLC (PNDx)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #05097)
• Kelly Peterson, M.S. CCC-SLP
• Tammy Pfeiffer, PT
• Catherine Policarpio Policina, MD
• Cristian L Popescu, MD
• Primary Health Network (Titusville Community Health Center)

• Physician Assistant in Titusville, PA
• Providers in Titusville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.