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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUDY L PETERSON CNNP CPNP
NPI 1033177985
Nurse Practitioner - Pediatrics in St Paul, MN

Active since May 02, 2006
347 NORTH SMITH AVE, CHILDRENS SPECIALTY CLINIC NICU, ST PAUL, MN 55102(651) 220-6210(651) 220-7777 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Judy L Peterson Cnnp Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDY L PETERSON CNNP CPNP (NPI 1033177985) is an individual pediatrics provider in St Paul, Minnesota, licensed in Minnesota (R1013148) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1033177985
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJUDY L PETERSONCredential: CNNP CPNP
Location Address347 NORTH SMITH AVE, CHILDRENS SPECIALTY CLINIC NICUSt Paul, MN 55102
Mailing Address2910 Centre Pointe Dr, 35-121a Childrens Health CareRoseville, MN 55113 · (651) 855-2327 · Fax (651) 855-2310
Phone(651) 220-6210
Fax(651) 220-7777
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1033177985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · R1013148
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License R1013148 (MN)
Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License R1013148 (MN)
347 NORTH SMITH AVE, St Paul, MN 55102
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELLY A HANSEN CNNP
Nurse Practitioner (Neonatal, Critical Care)
347 NORTH SMITH AVE, CHILDRENS SPECIALTY CLINIC NICU
ST PAUL, MN 55102
Ramsey County (651) 220-6210
LAURA G HOYT MD
Pediatrics
347 NORTH SMITH AVE, CHILDRENS SPECIALTY CLINIC INFECTIOUS DISEASES STPL
ST PAUL, MN 55102
Ramsey County (651) 220-6444
MARLENE D WUETHRICH CNNP
Nurse Practitioner (Neonatal, Critical Care)
347 NORTH SMITH AVE, CHILDRENS SPECIALTY CLINIC NICU
ST PAUL, MN 55102
Ramsey County (651) 220-6210
DR. JOHN MICHAEL COLEMAN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
347 NORTH SMITH AVE, SUITE 505
SAINT PAUL, MN 55102
Ramsey County (651) 220-6260
MARK J HUDSON MD
Pediatrics
347 NORTH SMITH AVE, 401
ST PAUL, MN 55102
Ramsey County (651) 220-6750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Peterson's NPI number?

The NPI number for Judy Peterson is 1033177985. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Judy Peterson located?

Judy Peterson practices at 347 North Smith Ave Childrens Specialty Clinic Nicu, St Paul, MN 55102. The listed phone number is (651) 220-6210.

What is Judy Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Judy Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.