AMY JANELLE PETERSEN NP
NPI 1164981726
Nurse Practitioner - Family in Modesto, CA

Q: What is Amy Petersen's NPI number?

The NPI number for Amy Petersen is 1164981726. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Q: What is Amy Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Petersen was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 March 13, 2019

3509 COFFEE RD, STE D3, MODESTO, CA 95355(209) 338-3000 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2025, Apr 10, 2020, Mar 13, 2019 (3 updates tracked since 2019).

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About Amy Janelle Petersen Np NPPES

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

AMY JANELLE PETERSEN NP (NPI 1164981726) is an individual family provider in Modesto, California, licensed in California (17191) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1164981726

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY JANELLE PETERSENCredential: NP

Location Address3509 COFFEE RD, STE D3Modesto, CA 95355-1357

Mailing Address3509 Coffee Rd, Ste D3Modesto, CA 95355-1357

Phone(209) 338-3000

Sole ProprietorNo

Enumeration DateMarch 13, 2019

Last NPPES UpdateJune 19, 20253 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1164981726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 17191

3509 COFFEE RD, Modesto, CA 95355

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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.

BARBARA CUMMINS FNP-BC

Nurse Practitioner

3509 COFFEE RD
MODESTO, CA 95355

Stanislaus County (209) 493-8863

NESREN ANTON AZER ANTON NP

Nurse Practitioner (Primary Care)

3509 COFFEE RD
MODESTO, CA 95355

Stanislaus County (510) 736-9104

DR. MOLLENA MARTINEZ CNP, PH.D.

Nurse Practitioner (Primary Care)

3509 COFFEE RD
MODESTO, CA 95355

Stanislaus County (209) 241-2110

GILBERT EGGEN DO

Psychiatry & Neurology (Psychiatry)

3509 COFFEE RD, STE D18
MODESTO, CA 95355

Stanislaus County (209) 523-7297

ALIGNMENT HEALTHCARE CENTER

Clinic/Center

3509 COFFEE RD
MODESTO, CA 95355

Stanislaus County (209) 409-8294

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 Amy Petersen's NPI number?

The NPI number for Amy Petersen is 1164981726. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Amy Petersen located?

Amy Petersen practices at 3509 Coffee Rd Ste D3, Modesto, CA 95355. The listed phone number is (209) 338-3000.

What is Amy Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amy Petersen was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.