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KRISTEN MARIE PETERSON
NPI 1104353556
Technician - Personal Care Attendant in Tipp City, OH

Active since May 16, 2017
564 BURNSIDE DR, TIPP CITY, OH 45371(937) 838-5492 Get Directions Write a Review

NPPES record last updated: May 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen Marie Peterson NPPES

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

KRISTEN MARIE PETERSON (NPI 1104353556) is an individual personal care attendant in Tipp City, Ohio, licensed in Ohio (400705210108) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1104353556
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKRISTEN MARIE PETERSON
Location Address564 BURNSIDE DRTipp City, OH 45371-3711
Mailing Address4927 Woodman Park Dr Apt 6Dayton, OH 45432-1136 · (937) 838-5492
Phone(937) 838-5492
Sole ProprietorNo
Enumeration DateMay 16, 2017
✔ NPI 1104353556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in OH · 400705210108
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
564 BURNSIDE DR, Tipp City, OH 45371
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Other Identifiers 1

Medicaid0211289OH

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 Kristen Peterson's NPI number?

The NPI number for Kristen Peterson is 1104353556. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Kristen Peterson located?

Kristen Peterson practices at 564 Burnside Dr, Tipp City, OH 45371. The listed phone number is (937) 838-5492.

What is Kristen Peterson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kristen Peterson was last updated on May 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.