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

Myracle Peterson

Individual provider Case Manager/Care Coordinator · NPI 1508605577

Myracle Peterson is a Case Manager/Care Coordinator in Pickerington, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
2

Practice location Address checks out

10400 Blacklick Eastern Rd
Pickerington, OH 43147-8235
Phone: (614) 726-7359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)
Personal Care Attendant Taxonomy 3747P1801X (OH)

Record details

NPI number1508605577
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2024
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address4113 Redonda Ln, Dayton, OH 45416-1423

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