What is Russell Petersen's NPI number?

Russell Petersen's National Provider Identifier (NPI) is 1790288462, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Russell Petersen's specialty?

Russell Petersen is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).

Where is Russell Petersen located?

Russell Petersen's practice location on file with NPPES is 7762 W Sahara Ave, Las Vegas, NV 89117-2700.

What is Russell Petersen's phone number?

The practice phone number listed in the NPPES registry for Russell Petersen is (702) 240-7711.

Is Russell Petersen's NPI active?

Yes — Russell Petersen's NPI (1790288462) is active in the NPPES registry as of the last update on 2018-03-08.

IndividualActive

Russell Petersen

NPI 1790288462 · Personal Care Attendant · Las Vegas, NV

Russell Petersen is a Personal Care Attendant provider in Las Vegas, NV (NPI 1790288462).

Provider details

NPI number: 1790288462
Entity type: Individual
Primary specialty: Personal Care AttendantNursing Service Related Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Personal Care AttendantPrimary3747P1801X
Nursing Service Related Providers

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
83% 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

7762 W Sahara Ave

Las Vegas, NV 89117-2700

Phone: (702) 240-7711

Street-level locationGet directions

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Mailing address