Lidia Timofeenko Petersen is a Las Vegas, Nevada based nurse practitioner with 5 years of experience in Psych/Mental Health. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lidia Timofeenko Petersen is 835379 for Psych/Mental Health in Nevada. Her current practice location is 972 Sugar Springs Dr, Las Vegas. Patients can reach her at 208-410-3048 with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1245857952. Lidia Timofeenko Petersen provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Lidia Timofeenko Petersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Lidia Timofeenko Petersen
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Experience:
5+ years
Medical School Attended:
Other
Graduation Year:
2020
Accepts Medicare Assignment:
Yes
Practice Address:
972 Sugar Springs Dr, Las Vegas, Nevada, 89110-2936
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2769895960
Enrollment ID:
I20210107001292
NPI Number:
1245857952
NPI Enumeration Date:
29 Jun, 2020
NPI Last Update On:
06 Sep, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lidia Timofeenko Petersen are as mentioned below.
License Number
Specialization
State
Status
835379
Psych/Mental Health
Nevada
Primary
53260
Psych/Mental Health
Idaho
Secondary
TEMP53260
Psych/Mental Health
Idaho
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(130006)
Boise, ID
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lidia Timofeenko Petersen is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St Lukes Clinic - Treasure Valley Llc (4981878402)
915
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lidia Timofeenko Petersen 972 Sugar Springs Dr, Las Vegas, Nevada
Zip:
89110-2936
Phone Number:
208-410-3048
Patients can reach Lidia Timofeenko Petersen at 972 Sugar Springs Dr, Las Vegas, Nevada or can call to book an appointment on 208-410-3048.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.