BRANDIE PETERSON (MS, ATC, CES, PES) – Athletic Trainer, NPI 1619478039

BRANDIE PETERSON (MS, ATC, CES, PES) is a healthcare provider. based in Sparks, Nevada. specializing in Athletic Trainer. They hold the professional credentials MS, ATC, CES, PES. They hold a License No. 0506229 (NV). The NPI Number for BRANDIE PETERSON (MS, ATC, CES, PES) is 1619478039

Main info

Female
Sole Proprietor
Name
BRANDIE PETERSON (MS, ATC, CES, PES)
NPI
1619478039
Phone
(775) 636-4342
Address
565 Sparks Blvd
Enumeration Date
21 February 2018
Last Update Date
17 March 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for BRANDIE PETERSON (MS, ATC, CES, PES)

  • 565 Sparks Blvd

    870

    Sparks, NV 89434

    Phone: (775) 636-4342

    Type: Location

  • 565, Sparks Boulevard, Sparks, Washoe County, Nevada, 89434, United States

    870

    SPARKS, NV 89434

    Phone: (775) 636-4342

    Type: Mailing

  • 820, 15th Street, Sparks, Washoe County, Nevada, 89431, United States

    SPARKS, NV 894310939

    Phone: (775) 636-4342

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89434)

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Reviews

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Frequently asked questions

How do payers reference BRANDIE PETERSON (MS, ATC, CES, PES)?
For BRANDIE PETERSON (MS, ATC, CES, PES), use NPI 1619478039 as the unique 10-digit identifier.
Is BRANDIE PETERSON (MS, ATC, CES, PES) shown as active in public data?
Registry records indicate BRANDIE PETERSON (MS, ATC, CES, PES) maintains an active NPI.
What expertise is attributed to BRANDIE PETERSON (MS, ATC, CES, PES)?
BRANDIE PETERSON (MS, ATC, CES, PES)'s specialty line reads Athletic Trainer. Clinical services aligned with this taxonomy classification.
What locale is associated with BRANDIE PETERSON (MS, ATC, CES, PES)?
Directory geography for BRANDIE PETERSON (MS, ATC, CES, PES) centers on Sparks, Nevada.
When was this NPI issued?
Enumeration for BRANDIE PETERSON (MS, ATC, CES, PES) is noted as February 21, 2018 where the registry provides it.

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