Steffanie Peterson, NP-C

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

5322635-4405 Issued in UT

Practice address

368 E Riverside Dr
Ste a
St George, UT 84790-6897

Phone

(435) 673-1149

Fax

(435) 673-1182

NPI assigned

Jul 20, 2012

Last updated

Jan 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Chiropractic LLC

  • Primary Care Nurse Practitioner
  • St George, UT
  • NPI 1831626993
  Medicare reassignment NPD
• Taylor Health Center, LLC

  • Nutrition Chiropractor
  • St George, UT
  • NPI 1649663915
  NPD (past)

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1083969455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216924",
            "telephone_number": "801-944-3199",
            "fax_number": "801-944-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 E RIVERSIDE DR",
            "address_2": "STE A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906897",
            "telephone_number": "435-673-1149",
            "fax_number": "435-673-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "STEFFANIE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5322635-8900",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "UT",
            "license": "5322635-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Peterson
• Marcus L Peterson, MD
• Morgan Peterson
• Ryan Thomas Peterson, DPM
• Sierra Claudia Peterson, APRN
• Tyler Peterson, NP
• Walter Peterson, OD
• Annaleese Petralia
• Gregory Michael Petralia
• Whitney Petrich

• Family Health Clinical Nurse Specialist in St George, UT
• Providers in St George, UT by specialty
• Family Health Clinical Nurse Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.