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COURTNEY SLOCUM PETERSEN PA-C
NPI 1730184375
Physician Assistant in Boston, MA

Active since June 20, 2005
750 WASHINGTON ST # 178, TUFTS MEDICAL CENTER, BOSTON, MA 02111(617) 636-8200(617) 636-7587 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Courtney Slocum Petersen Pa-c NPPES

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

COURTNEY SLOCUM PETERSEN PA-C (NPI 1730184375) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (2624) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1730184375
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY SLOCUM PETERSENCredential: PA-C
Location Address750 WASHINGTON ST # 178, TUFTS MEDICAL CENTERBoston, MA 02111-1526
Mailing Address57 E Concord St, Apt 3Boston, MA 02118-1996 · (770) 519-8108
Phone(617) 636-8200
Fax(617) 636-7587
Sole ProprietorYes
Enumeration DateJune 20, 2005
Last NPPES UpdateJanuary 14, 2016
✔ NPI 1730184375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MA · 2624✔ Licensed in GA · 004199
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
750 WASHINGTON ST # 178, Boston, MA 02111
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Other Identifiers 2

Other000867701Medicare
Medicare UPINS85337

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 Courtney Petersen's NPI number?

The NPI number for Courtney Petersen is 1730184375. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Courtney Petersen located?

Courtney Petersen practices at 750 Washington St # 178 Tufts Medical Center, Boston, MA 02111. The listed phone number is (617) 636-8200.

What is Courtney Petersen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Courtney Petersen was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.