Judy Peterson, CNNP CPNP
Judy Peterson, CNNP CPNP is a Pediatric Nurse Practitioner in St Paul, MN, registered under NPI 1033177985. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 347 NORTH SMITH AVE CHILDRENS SPECIALTY CLINIC NICU, St Paul, MN 55102. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| R1013148 | MN | Pediatric Nurse Practitioner primary |
| R1013148 | MN | Neonatal Nurse Practitioner |
| R1013148 | MN | Critical Care Neonatal Nurse Practitioner |
This provider holds licence R1013148 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pediatrics covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0200X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP0200X | Pediatric Nurse Practitioner Pediatrics | R1013148 | MN | primary |
| 363LN0000X | Neonatal Nurse Practitioner Neonatal | R1013148 | MN | |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner Neonatal, Critical Care | R1013148 | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1033177985 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 2, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | CNNP CPNP |
| Practice address |
347 NORTH SMITH AVE CHILDRENS SPECIALTY CLINIC NICU St Paul, MN 55102 (651) 220-6210 Fax (651) 220-7777 |
| Mailing address |
2910 CENTRE POINTE DR 35-121A CHILDRENS HEALTH CARE Roseville, MN 55113 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 3 | 3 | 1 | 7 | 7 | 9 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 6 | 3 | 2 | 7 | 5 | 9 | 7 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.