NPI
Carissa Peterson
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- ARNP
- Type
- Individual
- Enumeration date
- 2016-08-10
- Last updated
- 2022-04-26
Specialties
Licenses
- License FL
- ARNP9249998
- License FL
- ARNP9249998
Location
- Practice location
- 109 W Knapp Ave
- City
- Edgewater FL
- Postal code
- 32132-1555
- Phone
- (386) 957-4100
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Edgewater, FL. 247 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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