Mrs. Antonique Peterson, DO
Mrs. Antonique Peterson is a General Practice Physician provider (General Practice) practicing in Minneapolis, MN, registered in the NPPES registry with NPI 1700377124 since 2018. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700377124 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mrs. Antonique Peterson |
| Credential | DO |
| Sex | Female |
| Practice address | 1313 PENN AVE N, Minneapolis, MN, 55411 |
| Phone | 6125432500 |
| Enumeration date | 2018-05-21 |
| Last updated in NPPES | 2021-10-27 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | Secondary | — | — |
| 208D00000X | General Practice Physician | Primary | 69440 | MN |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 416005801 | Medicaid | MN | — |
Copy-ready billing details
Provider: Antonique Peterson, DO NPI: 1700377124 Taxonomy: 208D00000X (General Practice Physician) Address: 1313 PENN AVE N, Minneapolis, MN, 55411
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023095627 | Brownell Mack | Individual | Psychologist | Minneapolis, MN |
| 1912984410 | Javon Cleveland | Individual | Psychologist | Minneapolis, MN |
| 1699739656 | Rochelle Avent-Hassan | Individual | Dentist | Minneapolis, MN |
| 1932163052 | Susan Dunn | Individual | Family Nurse Practitioner | Minneapolis, MN |
| 1528023926 | Carla Lucas | Individual | Nurse Practitioner | Minneapolis, MN |
| 1629036637 | Shannon Held | Individual | Dentist | Minneapolis, MN |
| 1962460337 | Mayra Soler | Individual | Dentist | Minneapolis, MN |
| 1881642973 | Kelly Ruby | Individual | Pharmacist | Minneapolis, MN |
Verify this record
Cross-check NPI 1700377124 against the authoritative CMS record: view Mrs. Antonique Peterson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1700377124 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-10-27.