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HOANG KIM PETERSEN NURSE PRACTITIONER
NPI 1780989590
Nurse Practitioner - Family in Centennial, CO

Active since January 26, 2011
16728 E SMOKY HILL RD UNIT 10D, CENTENNIAL, CO 80015(303) 766-7006(303) 766-1023 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Oct 31, 2017 (2 updates tracked since 2017).

About Hoang Kim Petersen Nurse Practitioner NPPES

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

HOANG KIM PETERSEN NURSE PRACTITIONER (NPI 1780989590) is an individual family provider in Centennial, Colorado, licensed in Colorado (NP-10342) and active in the NPI registry since January 2011. She maintains a secondary practice location in Amarillo.

NPPES Registry Identity

NPI1780989590
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOANG KIM PETERSENCredential: NURSE PRACTITIONER
Location Address16728 E SMOKY HILL RD UNIT 10DCentennial, CO 80015-2400
Mailing Address2550 N Thunderbird Cir Ste 303Mesa, AZ 85215-1219 · (480) 455-4932 · Fax (480) 776-0025
Phone(303) 766-7006
Fax(303) 766-1023
Sole ProprietorNo
Enumeration DateJanuary 26, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1780989590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · NP-10342
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 1649 (TX)
16728 E SMOKY HILL RD UNIT 10D, Centennial, CO 80015
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Secondary Practice Location 1

Location 11400 S Coulter StAmarillo, TX 79106-1786 · Phone (803) 545-5630 · Fax (806) 354-5689

Other Identifiers 6

Medicaid78459834NM
Medicaid283185102TX
Medicaid283185104TX
Medicaid283185101TX
Medicaid200342180 AOK
Medicaid283185103TX

Other Providers at the Same Location NPPES

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

VICTORIA M HENDERSON FNP
Nurse Practitioner
16728 E SMOKY HILL RD UNIT 10D
CENTENNIAL, CO 80015
Arapahoe County (303) 766-1006

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 Hoang Petersen's NPI number?

The NPI number for Hoang Petersen is 1780989590. It was assigned to this individual provider in the NPPES registry on January 26, 2011.

Where is Hoang Petersen located?

Hoang Petersen practices at 16728 E Smoky Hill Rd Unit 10D, Centennial, CO 80015. The listed phone number is (303) 766-7006.

What is Hoang Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Hoang Petersen was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.