PHYLLIS G PETERSON NP
NPI 1366703019
Nurse Practitioner - Primary Care in Belle Chasse, LA

Q: What is Phyllis Peterson's NPI number?

The NPI number for Phyllis Peterson is 1366703019. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Q: What is Phyllis Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Peterson was last updated on June 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 30, 2012

103 DR. BOWEN ST., BELLE CHASSE, LA 70037(504) 392-3392(504) 392-3303 Get Directions Write a Review

NPPES record last updated: June 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Phyllis G Peterson Np NPPES

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

PHYLLIS G PETERSON NP (NPI 1366703019) is an individual primary care provider in Belle Chasse, Louisiana, licensed in Louisiana (2065) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1366703019

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NamePHYLLIS G PETERSONCredential: NP

Location Address103 DR. BOWEN ST.Belle Chasse, LA 70037

Mailing Address103 Dr. Bowen St.Belle Chasse, LA 70037 · (504) 392-3392 · Fax (504) 392-3303

Phone(504) 392-3392

Fax(504) 392-3303

Sole ProprietorYes

Enumeration DateMay 30, 2012

Last NPPES UpdateJune 13, 2014

✔ NPI 1366703019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in LA · 2065

103 DR. BOWEN ST., Belle Chasse, LA 70037

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Other Identifiers 2

Medicaid2364693LA

Other2065LA · 2065

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 Phyllis Peterson's NPI number?

The NPI number for Phyllis Peterson is 1366703019. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Phyllis Peterson located?

Phyllis Peterson practices at 103 Dr. Bowen St., Belle Chasse, LA 70037. The listed phone number is (504) 392-3392.

What is Phyllis Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Phyllis Peterson was last updated on June 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.