DR. DANA M PETERSEN M.D.
NPI 1912974155
Specialist in Olympia, WA

Active since March 07, 2006
3434 12TH AVE NE, OLYMPIA, WA 98506(360) 413-8470(360) 413-8490 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dana M Petersen M.d. NPPES

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

DR. DANA M PETERSEN M.D. (NPI 1912974155) is an individual specialist in Olympia, Washington, licensed in Washington (MD00019243) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1912974155
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. DANA M PETERSENCredential: M.D.
Location Address3434 12TH AVE NEOlympia, WA 98506
Mailing Address3434 12th Ave NeOlympia, WA 98506 · (360) 413-8470 · Fax (360) 413-8490
Fax(360) 413-8490
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateFebruary 3, 2014
NPI 1912974155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · MD00019243
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3434 12TH AVE NE, Olympia, WA 98506

Other Identifiers 2

Medicare UPIND33876WA
Medicaid8422909WA

Accepted Insurance

Other Providers at the Same Location NPPES 15

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

Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Nurse Practitioner (Pediatrics)
3434 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Dietitian, Registered (Nutrition, Pediatric)
3434 12TH AVE NE
OLYMPIA, WA 98506
Nurse Practitioner (Pediatrics)
3434 12TH AVE NE
OLYMPIA, WA 98506

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 Dana Petersen's NPI number?

The NPI number for Dana Petersen is 1912974155. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Dana Petersen located?

Dana Petersen practices at 3434 12th Ave NE, Olympia, WA 98506. The listed phone number is (360) 413-8470.

What is Dana Petersen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Dana Petersen accept?

Health plans from Providence Health Plan list Dana Petersen 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 Dana Petersen was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.