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ELLEN PETERSEN NP
NPI 1689771354
Nurse Practitioner in Vista, CA

Active since September 17, 2006
1000 VALE TERRACE DR, VISTA, CA 92084(760) 631-5000(760) 414-3713 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ellen Petersen Np NPPES

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

ELLEN PETERSEN NP (NPI 1689771354) is an individual nurse practitioner in Vista, California, licensed in California (NP8141) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1689771354
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELLEN PETERSENCredential: NP
Location Address1000 VALE TERRACE DRVista, CA 92084-5218
Mailing Address1000 Vale Terrace DrVista, CA 92084-5218 · (760) 631-5000 · Fax (760) 414-3713
Phone(760) 631-5000
Fax(760) 414-3713
Sole ProprietorYes
Enumeration DateSeptember 17, 2006
Last NPPES UpdateDecember 23, 2010
✔ NPI 1689771354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP8141
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1000 VALE TERRACE DR, Vista, CA 92084
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Other Identifiers 1

Medicare UPINS62702CA

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.

CHRISTINE DOUGHERTY LCSW
Social Worker (Clinical)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
PATRICIA R HOLLAND
Nurse Practitioner (Pediatrics)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
DIANA J MENDOZA
Case Manager/Care Coordinator
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 407-1220
MS. JESSICA HERNANDEZ
Nurse Practitioner (Family)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
ELIZABETH KETCHEL APCC
Counselor (Mental Health)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
INGRID DEKKERS-O'HARE NP
Nurse Practitioner
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
LEILA SHABANIAN M.D.
Hospitalist
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
PAMELA N KINGERY NP
Nurse Practitioner (Women's Health)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 407-1220

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 Ellen Petersen's NPI number?

The NPI number for Ellen Petersen is 1689771354. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Ellen Petersen located?

Ellen Petersen practices at 1000 Vale Terrace Dr, Vista, CA 92084. The listed phone number is (760) 631-5000.

What is Ellen Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Ellen Petersen was last updated on December 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.