NPI age
5 years
Enumerated 2020-07-14
● Active
Type 1 · Individual
Kelly Peterson, APRN
Peterson is 1 of 11 nurse practitioner providers in Fort Sam Houston and 1 of 5264 in Texas.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5264 active nurse practitioner providers in Texas.
NPI age
5 years
↓ 3 yr below median (8 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
-
Military Health Care ProviderActive duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1124390253 | DOD ID |
Practice context
Part of a multi-provider practice. 1394 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.