Active NPI
Anna Irene Peterson, N.D.
- Naturopath
- Portland, OR
National Provider Identifier
1902180409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60319044
- Practice address
- 3025 S Corbett Ave
Portland, OR 97201-4858 - Phone
- (503) 552-1551
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60319044 | WA | Primary |
Addresses
Primary practice location
3025 S Corbett Ave
Portland, OR 97201-4858
Mailing address
PO Box 1457
Stevenson, WA 98648-1457
Phone (509) 427-3624
Other practice location 1
27 SW Russell Ave
Stevenson, WA 98648-9198
Phone (509) 427-3624
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NT60319044 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viriditas Naturopathic Medicine, PLLC | Naturopath | Past | Accepting new patients |
| National University of Natural Medicine | Past | Accepting new patients |
Interoperability endpoints
- awieman37115@direct.ochin.org
Organizations & group practices 2
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.
-
- Student in an Organized Health Care Education/Training Program
- Portland, OR
- NPI 1730301250
-
- Naturopath
- Stevenson, WA
- NPI 1023350055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1902180409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1457",
"city": "STEVENSON",
"state": "WA",
"postal_code": "986481457",
"telephone_number": "509-427-3624",
"fax_number": "509-427-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 S CORBETT AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972014858",
"telephone_number": "503-552-1551"
}
],
"practiceLocations": [
{
"address_1": "27 SW Russell Ave",
"address_purpose": "LOCATION",
"city": "Stevenson",
"state": "WA",
"postal_code": "986489198",
"country_code": "US",
"telephone_number": "509-427-3624",
"fax_number": "509-427-3625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "ANNA",
"middle_name": "IRENE",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60319044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.