Provider Type Icon

DR. HEIDI HABICHT PETERSON M.D. NPI 1558380600


NPI Information

NPI: 1558380600
Provider Name: DR. HEIDI HABICHT PETERSON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
230 WASHINGTON STREET
SOUTH ATTLEBORO, MA
ZIP 02703
Phone: (508) 761-5650
Get Directions

DR. Heidi Habicht Peterson, M.D. is a family medicine in South Attleboro, MA with 28 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Heidi Habicht Peterson, M.D. NPI is 1558380600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduation Year:1996

The provider's business location address is:

230 WASHINGTON STREET
SOUTH ATTLEBORO, MA
ZIP 02703
Phone: (508) 761-5650
Fax: (508) 761-9870

The NPI 1558380600 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 7/19/2006 and was last updated on 9/6/2013.


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
1207Q00000XFamily MedicineMD11077RHODE ISLANDNo
2207Q00000XFamily Medicine159941MASSACHUSETTSYes

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
1410071OTHERRHODE ISLANDBLUE CHIP
2159941OTHERRHODE ISLANDTUFTS HEALTH PLAN
33200302MEDICAIDMASSACHUSETTS
4711511OTHERMASSACHUSETTSHARVARD HEALTHCARE
50020858OTHERMASSACHUSETTSNEIGHBORHOOD HEALTHCARE
6J25000OTHERMASSACHUSETTSMASS BLUE CROSS
7A30757MEDICARE PIN
826483OTHERRHODE ISLANDRHODE ISLAND BLUE CROSS/
9H11927MEDICARE UPIN
10HB53533MEDICAIDRHODE ISLAND

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: 4/28/2024

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.