Bailey Peterson, RN
Individual provider Active NPI Registered Nurse · Laughlin, NV
NPI 1124987888 · NPPES record last updated Jan 19, 2026
Key facts
- NPI
- 1124987888
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 9864627-3102 (UT)
- Practice address
- 3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815 - Phone
- (702) 868-1400
- NPI assigned
- Jan 19, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9864627-3102 | UT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Nevada LLC | Past |
Accepting new patients | |
| Canyon Nevada LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9864627-3102 | UT | Yes |
Addresses
Primary practice location
3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815
Mailing address
746 E Winchester St Ste 200
Murray, UT 84107-8513
Phone (801) 485-6166
Other providers in Laughlin, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.