Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Anne Petersen, CRNP

Individual provider Family Nurse Practitioner · NPI 1356077879

Kathryn Anne Petersen, CRNP is a Nurse Practitioner in Madison, Alabama. Qualified in 2020, 6 years ago. Practices with Vital Sleep Care, PC, a 3-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
6
Licensed in
AL
In the registry since
2022
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

44 Hughes Rd Ste 2500
Madison, AL 35758-3026
Phone: (256) 464-2920
Fax: (256) 542-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-147633 (AL)

Record details

NPI number1356077879
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 27, 2022
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vital Sleep Care, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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