KENT PETERSEN RN
NPI 1053559401
Registered Nurse in Normal, IL

Q: What is Kent Petersen's NPI number?

The NPI number for Kent Petersen is 1053559401. It was assigned to this individual provider in the NPPES registry on January 22, 2009.

Q: What is Kent Petersen's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kent Petersen was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 January 22, 2009

1604 VISA DR STE 1, NORMAL, IL 61761(309) 846-4716(409) 454-1107 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kent Petersen Rn NPPES

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

KENT PETERSEN RN (NPI 1053559401) is an individual registered nurse in Normal, Illinois, licensed in Illinois (041300994) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1053559401

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameKENT PETERSENCredential: RN

Location Address1604 VISA DR STE 1Normal, IL 61761-2195

Mailing Address1604 Visa Dr Ste 1Normal, IL 61761-2195 · (309) 846-4716 · Fax (409) 454-1107

Phone(309) 846-4716

Fax(409) 454-1107

Sole ProprietorNo

Enumeration DateJanuary 22, 2009

✔ NPI 1053559401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in IL · 041300994

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

1604 VISA DR STE 1, Normal, IL 61761

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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.

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