Karen Sue Peterson, RD LDN CDE

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

DN000768 Issued in PA

Practice address

191 Eleanor Dr
New Castle, PA 16105-5701

Phone

(724) 498-6545

Fax

(724) 598-3425

NPI assigned

Jun 10, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1962638429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 ELEANOR DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161055701",
            "telephone_number": "724-498-6545",
            "fax_number": "724-598-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ELEANOR DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161055701",
            "telephone_number": "724-498-6545",
            "fax_number": "724-598-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "RD LDN CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "PA",
            "license": "DN000768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102439288",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Lee Perry, RPH
• Personal Touch Home Aides of PA, Inc
• Personal Touch Home Care of PA, Inc
• Tracy Cwynar Peters, MOTR/L
• Dakota Zoey Peterson, MD
• Debra Pezzuti
• Philip J. Schaville, O.D., P.C.
• Cynthia Anderson Phillips, OTRL
• Phoenix Rehabilitation and Health Services, Inc.
• Elizabeth A. Piccione, M.D.

• Metabolic Nutrition Registered Dietitian in New Castle, PA
• Providers in New Castle, PA by specialty
• Metabolic Nutrition Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.