TED STEVEN PETERSON APN FNP-BC NPI 1275106254

NPI Information

NPI: 1275106254
Provider Name: TED STEVEN PETERSON, APN FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ROCKFORD ORTHOPEDIC ASSOCIATES LTD

PECOS Registration: Yes

Address:
5875 EAST RIVERSIDE BLVD
ROCKFORD, IL
ZIP 61114
Phone: (815) 398-9491
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Ted Steven Peterson, APN FNP-BC is a family nurse practitioner in Rockford, IL with 4 years of experience. Ted Steven Peterson, APN FNP-BC NPI is 1275106254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5875 EAST RIVERSIDE BLVD
ROCKFORD, IL
ZIP 61114
Phone: (815) 398-9491

The NPI 1275106254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 12/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209023474	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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