SHANNON PETERKA
NPI 1033644620
Student in an Organized Health Care Education/Training Program in Rancho Palos Verdes, CA

Q: What is Shannon Peterka's NPI number?

The NPI number for Shannon Peterka is 1033644620. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Q: What is Shannon Peterka's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Peterka was last updated on February 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since April 21, 2017

7028 HARTCREST DR, RANCHO PALOS VERDES, CA 90275(310) 625-7729 Get Directions Write a Review

NPPES record last updated: February 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Peterka NPPES

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

SHANNON PETERKA (NPI 1033644620) is an individual student in an organized health care education/training program in Rancho Palos Verdes, California, licensed in California (11796) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1033644620

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHANNON PETERKA

Location Address7028 HARTCREST DRRancho Palos Verdes, CA 90275-2936

Mailing Address7028 Hartcrest DrRancho Palos Verdes, CA 90275-2936 · (310) 625-7729

Phone(310) 625-7729

Sole ProprietorNo

Enumeration DateApril 21, 2017

Last NPPES UpdateFebruary 2, 2018

✔ NPI 1033644620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CA · 11796

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7028 HARTCREST DR, Rancho Palos Verdes, CA 90275

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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 Shannon Peterka's NPI number?

The NPI number for Shannon Peterka is 1033644620. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Shannon Peterka located?

Shannon Peterka practices at 7028 Hartcrest Dr, Rancho Palos Verdes, CA 90275. The listed phone number is (310) 625-7729.

What is Shannon Peterka's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shannon Peterka was last updated on February 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.