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

NPI Status: Active since May 30, 2012

Contact Information

103 DR. BOWEN ST.
BELLE CHASSE, LA
ZIP 70037
Phone: (504) 392-3392
Fax: (504) 392-3303

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  • Individual
  • Female
  • Nurse Practitioner
  • Primary Care

About PHYLLIS PETERSON

This page provides the complete NPI Profile along with additional information for Phyllis Peterson, a provider established in Belle Chasse, Louisiana with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1366703019 assigned on May 2012. The practitioner's primary taxonomy code is 363LP2300X with license number 2065 (LA). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1366703019
Provider Name
PHYLLIS G PETERSON NP
Gender
Female
Entity Type
Individual
Location Address
103 DR. BOWEN ST. BELLE CHASSE, LA 70037
Location Phone
(504) 392-3392
Location Fax
(504) 392-3303
Mailing Address
103 DR. BOWEN ST. BELLE CHASSE, LA 70037
Mailing Phone
(504) 392-3392
Mailing Fax
(504) 392-3303
Is Sole Proprietor?
Yes
Enumeration Date
05-30-2012
Last Update Date
06-13-2014
Code Navigator

A nurse practitioner (NP) like Phyllis Peterson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2065
License State
LA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2364693MEDICAID (05)LA 
2065OTHER (01)LA2065

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366703019
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126140602
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 4 + 0 + 6 + 0 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1366703019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366703019, enumerated as an "individual" on May 30, 2012.

The provider is located at 103 DR. BOWEN ST. BELLE CHASSE, LA 70037 and the phone number is (504) 392-3392.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.