PRESTON LEE PETERSON


Address: 1500 E 2nd St Ste 100, Reno, NV 89502-1189
Phone: 7759825003

PRESTON LEE PETERSON (NPI# 1801453030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801453030
Entity Type Individual
Full Name PRESTON LEE PETERSON
Credential AGACNP
Practice Address 1500 E 2nd St Ste 100
Reno
NV 89502-1189
Mailing Address 850 Harvard Way
Reno
NV 89502-2055
Practice Telephone 7759825003
Mailing Telephone 7759825262
Mailing Fax Number 7759825496
Enumeration Date 2019-05-22
Last Update Date 2019-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
822824 NV Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
822824 NV Physician Assistants & Advanced Practice Nursing Providers

Other Providers PRESTON PETERSON

NPI Name Taxonomy Address Enumeration
1245201508 Preston Lane Peterson Internal Medicine 2701 Nw Vaughn St, Suite 160, Portland, OR 97210-5311 2006-01-26

Office Location

Street Address 1500 E 2ND ST STE 100
City RENO
State NV
Zip Code 89502-1189

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427149194 Martin J Naughton Specialist 1500 E 2nd St Ste 100, Reno, NV 89502-1189 2006-09-27
1144870767 Nicole Michiko Hunt Nurse Practitioner 1500 E 2nd St Ste 100, Reno, NV 89502-1189 2019-09-16
1518479302 Alexandra Sidorski Nurse Practitioner 1500 E 2nd St Ste 100, Reno, NV 89502-1189 2017-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992314264 State of Nevada Community/Behavioral Health 4600 Kietzke Lane Bldg D, Reno, NV 89502 2020-07-23
1447879259 Ryan Johnson Student in an Organized Health Care Education/Training Program 1155 Mill St. W-11, Reno, NV 89502 2020-04-11
1396378063 Domingko Loney Chore Provider 1325 Air Motive Wat St 262, Reno, NV 89502 2020-02-20
1053954842 Derek Craig Home Health Aide 1000 Havard Way #29, Reno, NV 89502 2019-10-24
1477108124 Marisa Rachael Traversie Nurse Practitioner 910 Vista Boulevard, Sparks, NV 89502 2019-08-08
1912564675 Patrick Llewellyn Merrill Social Worker 975 Kirman Ave - Ch 116, Reno, NV 89502 2019-05-28
1881154706 Naresh Kumar Veerabattini Student in an Organized Health Care Education/Training Program 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 2019-03-25
1053899187 Daphne London Behavioral Analyst 1325 Airmotive Way Ste 260, Reno, NV 89502 2018-07-31
1790271609 Jennifer J Padolina Optometrist 2296 Kietzke Ln, Reno, NV 89502 2018-07-03
1336630185 Lindsey Cherie Cooper Technician 3563 Sol Grande Ct, Reno, NV 89502 2018-05-27
Find all providers in zip 89502

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184241226 Jillian Rose Castillo Nurse Practitioner 1005 Terminal Way Ste 184, Reno, NV 89502-2179 2020-07-05
1225048184 Charles A Sheeley II Nurse Practitioner 50 Kirman Ave, Reno, NV 89502-1175 2006-08-09
1336150275 Brenda Ann Pugsley Nurse Practitioner 5250 Neil Rd., #207, Reno, NV 89502-6556 2006-08-09
1053931386 Jennifer Leilani Griffo Nurse Practitioner 1500 E 2nd St Ste 400, Reno, NV 89502-1198 2020-04-16
1265081756 Deanna M. Whitehorn Nurse Practitioner 3101 Plumas St, Reno, NV 89509-4515 2019-09-06
1700364338 Rachel A Chattin Nurse Practitioner 5590 Kietzke Ln, Reno, NV 89511-3019 2018-08-06
1811416738 Ann Egan Nurse Practitioner 5560 Kietzke Ln Bldg A, Reno, NV 89511 2017-09-12
1619337573 Caleb Frink Nurse Practitioner 1155 Mill St, Reno, NV 89502-1576 2016-03-03
1669483327 Laura J Sheeley Nurse Practitioner 50 Kirman Ave, Reno, NV 89502-1175 2006-08-10
1972537645 Jeannine Clark Nurse Practitioner 1000 Locust St, Reno, NV 89502-2597 2006-07-10
Find all providers in RENO

Competitor

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City RENO
Zip Code 89502

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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