Alicia Peterson, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

120489 Issued in IA

Practice address

1211 E Army Post Rd
Des Moines, IA 50315-5957

Phone

(515) 256-9540

NPI assigned

Jun 15, 2023

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1992480222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E ARMY POST RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155957",
            "telephone_number": "515-256-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E ARMY POST RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155957",
            "telephone_number": "515-256-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ALICIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "IA",
            "license": "120489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greta Jane Petersen, PHARMD
• Patricia Jean Petersen, LISW
• Shannon Marie Petersen, P.T.
• Stacey Rae Petersen, NURSE PRACTITIONER
• Peterson Family Dental, PC
• Cynthia W Peterson, NP
• Eric M Peterson, PHARM.D.
• Evan Douglas Peterson, PA-C
• Gregory E Peterson, D.O.
• Hannah Peterson, DO

• Ambulatory Care Registered Nurse in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Ambulatory Care Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.