Bobbi Jo Pedersen

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

176571452 Issued in UT

Practice address

1697 E Pioneer Rd
Draper, UT 84020

Phone

(801) 971-3438

NPI assigned

Feb 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bobbi Jo Rogers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1124368295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1697 E PIONEER RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209692",
            "telephone_number": "801-971-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1697 E PIONEER RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "84020",
            "telephone_number": "801-971-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "BOBBI",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "UT",
            "license": "176571452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBI",
            "last_name": "ROGERS",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peak Psychology & Consulting
• Amber Pearce, ACMHC
• Gabrielle Pearson, LMT
• Jessica Pearson, RD
• K'Tyrah Pearson
• Sherman H Peirce, O.D.
• Kayla Pelayo
• Seraphina Peltier
• Yzenia Pena
• Emma Elaine Penrod, PT, DPT

• Community Health Worker in Draper, UT
• Providers in Draper, UT by specialty
• Community Health Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.