Mary Peterson, ADMINISTRATOR
NPI 1063221646 · Assisted Living Facility · Jacksonville, FL
Mary Peterson, ADMINISTRATOR is a Assisted Living Facility provider in Jacksonville, FL (NPI 1063221646).
Provider details
- NPI number
- 1063221646
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Credential
- ADMINISTRATOR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8638 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-07
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Frequently asked questions
- What is Mary Peterson's NPI number?
- Mary Peterson's National Provider Identifier (NPI) is 1063221646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Peterson's specialty?
- Mary Peterson is listed in the NPPES registry with a primary specialty of Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Mary Peterson located?
- Mary Peterson's practice location on file with NPPES is 1622 Silver St, Jacksonville, FL 32206-4446.
- What is Mary Peterson's phone number?
- The practice phone number listed in the NPPES registry for Mary Peterson is (904) 356-3022.
- Is Mary Peterson's NPI active?
- Yes — Mary Peterson's NPI (1063221646) is active in the NPPES registry as of the last update on 2025-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.