PETERSON FAMILY HEALTHCARE
NPI 1225345275
Nurse Practitioner in Erwin, TN

Q: What is Peterson Family Healthcare's NPI number?

The NPI number for Peterson Family Healthcare is 1225345275. It was assigned to this organization in the NPPES registry on September 10, 2010.

Q: What is Peterson Family Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 10, 2010

1201 N MAIN AVE STE 3, ERWIN, TN 37650(423) 341-0629 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Peterson Family Healthcare NPPES

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

PETERSON FAMILY HEALTHCARE (NPI 1225345275) is a healthcare organization registered as a nurse practitioner in Erwin, Tennessee and active in the NPI registry since September 2010. The organization lists Shanna B Peterson, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1225345275

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePETERSON FAMILY HEALTHCARE

Location Address1201 N MAIN AVE STE 3Erwin, TN 37650-9102

Mailing AddressPo Box 716Erwin, TN 37650-0716 · (423) 341-0629

Phone(423) 341-0629

Organization SubpartNo

Authorized OfficialShanna B PetersonSole Member · (423) 341-0629

Enumeration DateSeptember 10, 2010

✔ NPI 1225345275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · APN11999

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1201 N MAIN AVE STE 3, Erwin, TN 37650

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Peterson Family Healthcare's NPI number?

The NPI number for Peterson Family Healthcare is 1225345275. It was assigned to this organization in the NPPES registry on September 10, 2010.

Where is Peterson Family Healthcare located?

Peterson Family Healthcare is located at 1201 N Main Ave Ste 3, Erwin, TN 37650. The listed phone number is (423) 341-0629.

What is Peterson Family Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Peterson Family Healthcare was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.