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KATHLEEN LAVONNE PETERSON NPI 1619534633


NPI Information

NPI: 1619534633
Provider Name: KATHLEEN LAVONNE PETERSON
Classification: Technician - 3747A0650X
Entity Type: Individual

Specialization: Attendant Care Provider

Address:
343 FAIRVIEW DR STE 101
CARSON CITY, NV
ZIP 89701
Phone: (775) 887-5683
Get Directions

Kathleen Lavonne Peterson is an attendant care provider technician in Carson City, NV. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. Kathleen Lavonne Peterson NPI is 1619534633. 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:

343 FAIRVIEW DR STE 101
CARSON CITY, NV
ZIP 89701-389
Phone: (775) 887-5683

The enumeration date for this NPI number is 5/24/2019 and was last updated on 5/24/2019.


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
1372600000XAdult CompanionNo
2372500000XChore ProviderNo
33747P1801XTechnicianPersonal Care AttendantNo
43747A0650XTechnicianAttendant Care ProviderYes
5376J00000XHomemakerNo

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.