| NPI | 1033572656 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2016-03-31 |
| Last Updated | 2023-06-13 |
| Mailing Address | 3506 Coastal Dusk Dr Plant City, FL 33565-5943 United States Phone: (954) 547-0445 📍 View Map |
| Primary Practice Address | 1401 16th St N St Petersburg, FL 33704-4123 United States Phone: (727) 291-7343 | Fax: (727) 895-1215 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 106555400 | - |
| Other (non-Medicare) | - | 14673711 | CAQH ID |
| Other (non-Medicare) | FL | XOQ6L | BCBS |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 213E00000X – Podiatrist | FL | PO4014 |
| No | 213ES0131X – | FL | PO4014 |
| No | 213EP1101X – Podiatrist, Primary Podiatric Medicine | FL | PO4014 |
| No | 213ES0000X – Podiatrist, Sports Medicine | FL | PO4014 |
| Yes | 213ES0103X – Podiatrist, Foot & Ankle Surgery | FL | PO4014 |
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About NPI 1033572656
Felipe Peterson DPM is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033572656. The primary specialty listed is Podiatrist, Foot & Ankle Surgery. The provider is located in St Petersburg, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-03-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033572656?
NPI 1033572656 belongs to Felipe Peterson DPM, a Podiatrist, Foot & Ankle Surgery in St Petersburg, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033572656 active?
The current status of NPI 1033572656 in the NPPES registry is Active. The record was last updated on 2023-06-13.
What specialty is NPI 1033572656?
NPI 1033572656 is classified under the taxonomy Podiatrist, Foot & Ankle Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033572656?
You can verify NPI 1033572656 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033572656?
The primary practice address on file for NPI 1033572656 is 1401 16th St N, St Petersburg, FL 33704-4123. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033572656 issued?
NPI 1033572656 was first issued (enumerated) on 2016-03-31. The NPPES record was last updated on 2023-06-13.
Practice Location Map
Felipe Peterson is located at 1401 16th St N, St Petersburg, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Felipe Peterson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033572656. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Podiatrist | PO4014 | FL |
| 213ES0131X | PO4014 | FL |
| Podiatrist, Primary Podiatric Medicine | PO4014 | FL |
| Podiatrist, Sports Medicine | PO4014 | FL |
| Podiatrist, Foot & Ankle Surgery | PO4014 | FL |