IndividualActive
Destiny Peterson
NPI 1366831273 · Specialist · Southfield, MI
Destiny Peterson is a Specialist provider in Southfield, MI (NPI 1366831273).
Provider details
- NPI number
- 1366831273
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7501000917 (MI)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs 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
21415 Civic Center Dr Ste 209
Southfield, MI 48076-3943
Phone: (248) 703-2889
Street-level locationGet directions
Mailing address
21415 Civic Center Dr Ste 209
Southfield, MI 48076-3943
Registry dates
- Enumerated
- 2015-01-15
- Last updated
- 2015-01-15
Frequently asked questions
- What is Destiny Peterson's NPI number?
- Destiny Peterson's National Provider Identifier (NPI) is 1366831273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Destiny Peterson's specialty?
- Destiny Peterson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Destiny Peterson located?
- Destiny Peterson's practice location on file with NPPES is 21415 Civic Center Dr Ste 209, Southfield, MI 48076-3943.
- What is Destiny Peterson's phone number?
- The practice phone number listed in the NPPES registry for Destiny Peterson is (248) 703-2889.
- Is Destiny Peterson's NPI active?
- Yes — Destiny Peterson's NPI (1366831273) is active in the NPPES registry as of the last update on 2015-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.