Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AMY PETERSON
NPI 1316857725
Licensed Practical Nurse in Myrtle Beach, SC

Q: What is Amy Peterson's NPI number?

The NPI number for Amy Peterson is 1316857725. It was assigned to this individual provider in the NPPES registry on September 9, 2026.

Q: What is Amy Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Peterson was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 September 09, 2026

1607 EXECUTIVE AVE, MYRTLE BEACH, SC 29577(843) 712-7316(843) 945-1022 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Amy Peterson NPPES

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

AMY PETERSON (NPI 1316857725) is an individual licensed practical nurse in Myrtle Beach, South Carolina, licensed in South Carolina (53203) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1316857725

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameAMY PETERSON

Location Address1607 EXECUTIVE AVEMyrtle Beach, SC 29577-6501

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (833) 510-4357 · Fax (866) 460-2997

Phone(843) 712-7316

Fax(843) 945-1022

Sole ProprietorNo

Enumeration DateSeptember 9, 2026

NPPES CertifiedSeptember 9, 2026

✔ NPI 1316857725 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 SC · 53203

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.

1607 EXECUTIVE AVE, Myrtle Beach, SC 29577

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MYRTLE BEACH TREATMENT SPECIALISTS LLC

Clinic/Center (Methadone)

1607 EXECUTIVE AVE
MYRTLE BEACH, SC 29577

Horry County (843) 712-7316

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 Peterson's NPI number?

The NPI number for Amy Peterson is 1316857725. It was assigned to this individual provider in the NPPES registry on September 9, 2026.

Where is Amy Peterson located?

Amy Peterson practices at 1607 Executive Ave, Myrtle Beach, SC 29577. The listed phone number is (843) 712-7316.

What is Amy 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 Amy Peterson was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.