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RICKY KARL PETERSON RN
NPI 1053036020
Registered Nurse - Emergency in Philadelphia, PA

Active since October 11, 2022
1200 INTREPID AVE, PHILADELPHIA, PA 19112(303) 883-6553 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ricky Karl Peterson Rn NPPES

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

RICKY KARL PETERSON RN (NPI 1053036020) is an individual emergency provider in Philadelphia, Pennsylvania, licensed in Washington (RN61037467) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1053036020
Entity TypeIndividualMale
Primary Taxonomy163WE0003X
Provider Legal NameRICKY KARL PETERSONCredential: RN
Location Address1200 INTREPID AVEPhiladelphia, PA 19112-1229
Mailing Address1200 Intrepid AvePhiladelphia, PA 19112-1229
Phone(303) 883-6553
Sole ProprietorYes
Enumeration DateOctober 11, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1053036020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in WA · RN61037467
1200 INTREPID AVE, Philadelphia, PA 19112
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Other Providers at the Same Location NPPES 20

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

MRS. DAPHNE BREMNER REGISTERED NURSE
Registered Nurse
1200 INTREPID AVE
PHILADELPHIA, PA 19112
Philadelphia County (661) 204-5478
JONATHAN FALLON RN
Registered Nurse
1200 INTREPID AVE
PHILADELPHIA, PA 19112
Philadelphia County (800) 748-3243
ASHLEI D SHELEMAN BSN, RN
Registered Nurse
1200 INTREPID AVE
PHILADELPHIA, PA 19112
Philadelphia County (800) 748-3243
SARAH MARIE TAUNTON RN
Registered Nurse
1200 INTREPID AVE
PHILADELPHIA, PA 19112
Philadelphia County (559) 380-7275
DIANNA R HOWARD RN
Registered Nurse
1200 INTREPID AVE
PHILADELPHIA, PA 19112
Philadelphia County (800) 465-3203
MICHAEL LEE BARCLAY
Registered Nurse (Psychiatric/Mental Health, Adult)
1200 INTREPID AVE
PHILADELPHIA, PA 19112
Philadelphia County (805) 528-5779
JORDAN BERGER RN
Registered Nurse
1200 INTREPID AVE
PHILADELPHIA, PA 19112
Philadelphia County (800) 748-3243
CARMEN LIANA DURAN-MAAG RN
Registered Nurse
1200 INTREPID AVE
PHILADELPHIA, PA 19112
Philadelphia County (209) 890-5353

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 Ricky Peterson's NPI number?

The NPI number for Ricky Peterson is 1053036020. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Ricky Peterson located?

Ricky Peterson practices at 1200 Intrepid Ave, Philadelphia, PA 19112. The listed phone number is (303) 883-6553.

What is Ricky Peterson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.

When was this NPI record last updated?

The NPPES record for Ricky Peterson was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.