Provider Type Icon

BRIANNE LUISA PETERSON ARNP NPI 1609015544


NPI Information

NPI: 1609015544
Provider Name: BRIANNE LUISA PETERSON, ARNP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual
Organization: NAUTILUS HEALTH CARE GROUP LLC

PECOS Registration: Yes

Address:
5220 BELFORT RD STE 130
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 446-3686
Get Directions

Brianne Luisa Peterson, ARNP is a nurse practitioner in Jacksonville, FL with 16 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Brianne Luisa Peterson, ARNP NPI is 1609015544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5220 BELFORT RD STE 130
JACKSONVILLE, FL
ZIP 32256-018
Phone: (904) 446-3686
Fax: (904) 446-3032

The NPI 1609015544 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 2/17/2009 and was last updated on 2/7/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0011XPreventive MedicineUndersea and Hyperbaric MedicineARNP9215209FLORIDANo
2363L00000XNurse PractitionerARNP9215209FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00718850OTHERMEDICARE RAILROAD
2309069419AMEDICAIDGEORGIA
3000848800MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.