KATHLEEN LAVONNE PETERSON
NPI 1619534633
Technician - Attendant Care Provider in Carson City, NV

Q: What is Kathleen Peterson's NPI number?

The NPI number for Kathleen Peterson is 1619534633. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Q: What is Kathleen Peterson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Peterson was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 24, 2019

343 FAIRVIEW DR STE 101, CARSON CITY, NV 89701(775) 887-5683 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kathleen Lavonne Peterson NPPES

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

KATHLEEN LAVONNE PETERSON (NPI 1619534633) is an individual attendant care provider provider in Carson City, Nevada and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1619534633

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameKATHLEEN LAVONNE PETERSON

Location Address343 FAIRVIEW DR STE 101Carson City, NV 89701-5389

Mailing Address3810 Amber StSilver Springs, NV 89429-9328 · (775) 223-2597

Phone(775) 887-5683

Sole ProprietorNo

Enumeration DateMay 24, 2019

✔ NPI 1619534633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

Also ListedChore ProviderTaxonomy 372500000X

Also ListedAdult CompanionTaxonomy 372600000X

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X

Also ListedHomemakerTaxonomy 376J00000X

343 FAIRVIEW DR STE 101, Carson City, NV 89701

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Other Providers at the Same Location NPPES 20

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

MELISSA TURNER

Technician (Personal Care Attendant)