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Kaylee Petersen

Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health

200 W Arbor Dr
San Diego , California 92103-9000

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Family Medicine
  • Nurse Practitioner - Psychiatric/Mental Health

Languages spoken

  • English

Location

200 W Arbor Dr San Diego , California 92103-9000

First Address

  • Kaylee Petersen
  • Po Box 50095
  • Seattle, WA
  • Zip : 98145-5095
  • Phone : (206) 520-5700

Second Address

  • Kaylee Petersen
  • 200 W Arbor Dr
  • San Diego, CA
  • Zip : 92103-9000
  • Phone : (858) 657-7000

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FAQs


Where did Kaylee Petersen attend graduate school?

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Where did Kaylee Petersen do her residency?

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Where did Kaylee Petersen do her fellowship?

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Is Kaylee Petersen board certified?

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What type of doctor is Kaylee Petersen

Nurse Practitioner - Psychiatric/Mental Health

In what state does Kaylee Petersen practice in?

California

Where is Kaylee Petersen ’s practice located?

200 W Arbor Dr , San Diego, California, 92103-9000

What is Kaylee Petersen ’s gender?

Female

Is Kaylee Petersen a sole practitioner?

No

Is Kaylee Petersen accepting new patients?

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What languages does Kaylee Petersen speak?

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Does Kaylee Petersen accept insurance?

Yes, Kaylee Petersen accepts insurance

Does Kaylee Petersen offers telemedicine?

Kaylee Petersen has not indicated if she offers telemedicine

What is Kaylee Petersen ’s professional license number?

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What is Kaylee Petersen ’s NPI number?

1003152364

Does Kaylee Petersen have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363LF0000X Nurse Practitioner - Family Medicine AP60293083 WA
Y 363LP0808X Nurse Practitioner - Psychiatric/Mental Health 95018282 CA

National Provider Identifier

NPI 1003152364
Provider Name Kaylee Petersen
First Address Seattle, WA 98145-5095
Second Address San Diego, CA 92103-9000
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 13/12/2012
Last Update Date 29/11/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1003152364 (05) WA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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