Debra Peterson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN0193620 Issued in CO

Practice address

1008 Patton St
Fort Collins, CO 80524-4018

Phone

(970) 494-4200

NPI assigned

Dec 11, 2020

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1912593161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3342 KEENLAND WAY",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805493212",
            "telephone_number": "970-556-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 PATTON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244018",
            "telephone_number": "970-494-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DEBRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN0193620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aden Peterson, DDS
• Allie Peterson
• Benjamin Bradley Peterson
• Bret Charles Peterson, MD
• Darcy Peterson, BA
• Emily Travis Peterson, LPC
• Faren Jane Peterson, LPC
• Jacci Peterson, QMAP
• Jaime Christine Peterson, LCSW
• Kerry Peterson, MA, NCC, LPCC

• Registered Nurse in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.