Active NPI
Jenny Lynn Petersen, RN
- Registered Nurse
- Elko, NV
National Provider Identifier
1962562231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN49340
- Practice address
- 1825 Pinion Rd
Ste a
Elko, NV 89801-8318 - Phone
- (775) 738-8021
- Fax
- (775) 738-8842
- NPI assigned
- Dec 9, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN49340 | NV | Primary |
Addresses
Primary practice location
1825 Pinion Rd
Ste a
Elko, NV 89801-8318
Mailing address
1665 Old Hot Springs Rd
Suite 157
Carson City, NV 89706-0782
Phone (775) 687-5162
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN49340 | NV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1962562231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 OLD HOT SPRINGS RD",
"address_2": "SUITE 157",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897060782",
"telephone_number": "775-687-5162",
"fax_number": "775-687-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 PINION RD",
"address_2": "STE A",
"city": "ELKO",
"state": "NV",
"postal_code": "898018318",
"telephone_number": "775-738-8021",
"fax_number": "775-738-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "JENNY",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-09",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN49340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.