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

Kourtney Peterson

Individual provider Registered Nurse · NPI 1093165227

Kourtney Peterson is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2016, 10 years ago. Practices with Variety Care, Inc, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

721 W Britton Rd
Oklahoma City, OK 73114-2909
Phone: (405) 632-6688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 Straka Ter, Oklahoma City, OK 73139-2544 — (405) 632-6688

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 104671 (OK)
Registered Nurse Taxonomy 163W00000X · Licence 104671 (OK)

Record details

NPI number1093165227
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2016
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Variety Care, Inc. — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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