Camilla Peterson

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

3367 E Jalais Hill LN
Cottonwood Heights, UT 84093-1252

Phone

(801) 616-2281

NPI assigned

Nov 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1184449605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 E JALAIS HILL LN",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840931252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 E JALAIS HILL LN",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840931252",
            "telephone_number": "801-616-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CAMILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Pearson, MS, RD
• Performance Rehab Clinic-Salt Lake
• Ashlyn Perrero
• Grace Peters
• Breanna Peterson
• Cyndi Lynn Peterson
• Tyanna Petty-Dailey
• Grace Petty
• Teri Phelps
• Alexa Phillips

• Health & Wellness Coach in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Health & Wellness Coach in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.