Catherine Peterson

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

0001 Issued in OR

Practice address

128 S 11TH St
Klamath Falls, OR 97601-5806

Phone

(541) 274-2770

Fax

(541) 274-2779

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Catie Peterson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sky Lakes Medical Center Inc

  • Health Service Clinic/Center
  • Klamath Falls, OR
  • NPI 1962000661

  Health Educator

  NPD
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1003424359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S 11TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015806",
            "telephone_number": "541-274-2770",
            "fax_number": "541-274-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S 11TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015806",
            "telephone_number": "541-274-2770",
            "fax_number": "541-274-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2865 Daggett Ave",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011106",
            "country_code": "US",
            "telephone_number": "541-274-2770",
            "fax_number": "541-274-2779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": "OR",
            "license": "0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATIE",
            "last_name": "PETERSON",
            "credential": "LIFESTYLE COACH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Peters, M.D.
• Samantha Viola Dougherty Peters, PA-C
• Trevor J Petersen, PHD, LCP
• Alex Eldon Peterson, DO
• Camilla Tatiana Peterson
• Dawn Esther Peterson
• Debi L Pettit
• Maria Philippi
• Jessica N Phillips
• Courtney Leigh Pickett

• Health Educator in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Health Educator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.