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ALEXIS RAE PETERSON LPN
NPI 1215713185
Licensed Practical Nurse in Randolph, NY

Active since September 06, 2023
356 MAIN STREET ER, RANDOLPH, NY 14772(315) 746-0303 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alexis Rae Peterson Lpn NPPES

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

ALEXIS RAE PETERSON LPN (NPI 1215713185) is an individual licensed practical nurse in Randolph, New York, licensed in New York (339981) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1215713185
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameALEXIS RAE PETERSONCredential: LPN
Location Address356 MAIN STREET ERRandolph, NY 14772-9696
Mailing Address356 Main Street ErRandolph, NY 14772-9696 · (315) 746-0303
Phone(315) 746-0303
Sole ProprietorNo
Enumeration DateSeptember 6, 2023
NPPES CertifiedAugust 28, 2023
✔ NPI 1215713185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 339981
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
356 MAIN STREET ER, Randolph, NY 14772
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Other Providers at the Same Location NPPES 4

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

MS. MACEY NICOLE MYERS RN BSN
Registered Nurse
356 MAIN STREET ER
RANDOLPH, NY 14772
Cattaraugus County (716) 300-8087
SUSAN MORAN
Social Worker (Clinical)
356 MAIN STREET ER
RANDOLPH, NY 14772
Cattaraugus County (716) 535-1741
SARAH E. COLLINS LPN
Licensed Practical Nurse
356 MAIN STREET ER
RANDOLPH, NY 14772
Cattaraugus County (716) 358-3636
MR. DANIEL COLE NELSON RN
Registered Nurse
356 MAIN STREET ER
RANDOLPH, NY 14772
Cattaraugus County (716) 358-3636

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 Alexis Peterson's NPI number?

The NPI number for Alexis Peterson is 1215713185. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Alexis Peterson located?

Alexis Peterson practices at 356 Main Street ER, Randolph, NY 14772. The listed phone number is (315) 746-0303.

What is Alexis Peterson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Alexis Peterson was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.