Jeanette Peter, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

196981 Issued in CA

Practice address

2917 Via Rivera
Palos Verdes Estates, CA 90274-2876

Phone

(310) 265-6626

NPI assigned

Apr 5, 2010

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

State licenses

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1982929733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 VIA RIVERA",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902742876",
            "telephone_number": "310-265-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 VIA RIVERA",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902742876",
            "telephone_number": "310-265-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "JEANETTE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "196981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalina Colleen a Noelle, PSYD
• Natalija O'Brien, MA, AMFT
• Evangelos Papadakis, LCSW #75920
• Par Anesthesia
• Michael H Park, DDS
• Philip Gruskin MD Inc
• Michelle Pock, OTR/L
• Jo-Ann Portanova
• Sarah Putt, OT
• PV Drug Store

• Certified Registered Nurse Anesthetist in Palos Verdes Estates, CA
• Providers in Palos Verdes Estates, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.