ANDREA MARIE PETERSON CPNP-PC
NPI 1922569698
Nurse Practitioner - Pediatrics in Modesto, CA

Q: What is Andrea Peterson's NPI number?

The NPI number for Andrea Peterson is 1922569698. It was assigned to this individual provider in the NPPES registry on March 26, 2019. The provider is also known as Mrs. Andrea Marie Oman.

Q: What is Andrea Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Peterson was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 26, 2019

4120 PRESCOTT RD # B, MODESTO, CA 95356(209) 544-7300 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrea Marie Peterson Cpnp-pc NPPES

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

ANDREA MARIE PETERSON CPNP-PC (NPI 1922569698) is an individual pediatrics provider in Modesto, California, licensed in California (95020812) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1922569698

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameANDREA MARIE PETERSONCredential: CPNP-PC

Location Address4120 PRESCOTT RD # BModesto, CA 95356-8418

Mailing Address4120 Prescott Rd # BModesto, CA 95356-8418 · (209) 544-7300

Phone(209) 544-7300

Sole ProprietorYes

Enumeration DateMarch 26, 2019

Last NPPES UpdateFebruary 13, 2023

NPPES CertifiedMay 2, 2022

✔ NPI 1922569698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95020812

Also ListedPediatricsTaxonomy 208000000X · License 789792 (CA)

4120 PRESCOTT RD # B, Modesto, CA 95356

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Other Names 1

Former Name (1)Mrs. Andrea Marie Oman

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 Andrea Peterson's NPI number?

The NPI number for Andrea Peterson is 1922569698. It was assigned to this individual provider in the NPPES registry on March 26, 2019. The provider is also known as Mrs. Andrea Marie Oman.

Where is Andrea Peterson located?

Andrea Peterson practices at 4120 Prescott Rd # B, Modesto, CA 95356. The listed phone number is (209) 544-7300.

What is Andrea Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Andrea Peterson was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.