EATHYN PETERSON DC, ATC
NPI 1376945360
Chiropractor in Peoria, AZ

Active since September 22, 2014Accepts Medicare Assignment
24700 N 67TH AVE, PEORIA, AZ 85383(623) 259-3458 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Sep 4, 2024 (2 updates tracked since 2024).

About Eathyn Peterson Dc, Atc NPPES

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

EATHYN PETERSON DC, ATC (NPI 1376945360) is an individual chiropractor in Peoria, Arizona, licensed in Arizona (9389) and active in the NPI registry since September 2014. He is a graduate of Life Chiropractic College - West (2022).

NPPES Registry Identity

NPI1376945360
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameEATHYN PETERSONCredential: DC, ATC
Location Address24700 N 67TH AVEPeoria, AZ 85383-4250
Mailing Address26127 N 121st AvePeoria, AZ 85383-5801 · (406) 925-3844
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2022
Enumeration DateSeptember 22, 2014
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1376945360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in AZ · 9389
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
24700 N 67TH AVE, Peoria, AZ 85383

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Eathyn Peterson Dc, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991154130
PECOS Enrollment IDI20241014004109

Other Providers at the Same Location NPPES 2

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

Chiropractor
24700 N 67TH AVE
PEORIA, AZ 85383
Chiropractor
24700 N 67TH AVE
PEORIA, AZ 85383

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 Eathyn Peterson's NPI number?

The NPI number for Eathyn Peterson is 1376945360. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Eathyn Peterson located?

Eathyn Peterson practices at 24700 N 67th Ave, Peoria, AZ 85383. The listed phone number is (623) 259-3458.

What is Eathyn Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Eathyn Peterson enrolled in Medicare?

Yes. Eathyn Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eathyn Peterson accept?

Health plans from Medica list Eathyn Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eathyn Peterson was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.