# JOHN PETERSEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679378616
- **Gender:** Man
- **Credential:** NREMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | 768753 | TX | — |
| 163W00000X | Registered Nurse | 1224179 | TX | — |
| 163WE0003X | Emergency Registered Nurse | 1224179 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 02/14/2025
- **Last updated:** 02/03/2026