Ashley Rosemarie Petersen, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8341022-4104 Issued in UT

Practice address

3300 Running Creek Way
Building B Suite 150
Lehi, UT 84043-5563

Phone

(801) 766-4244

Fax

(801) 776-4245

NPI assigned

Jul 12, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1295090595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 N 360 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031372",
            "telephone_number": "916-690-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RUNNING CREEK WAY",
            "address_2": "BUILDING B SUITE 150",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435563",
            "telephone_number": "801-766-4244",
            "fax_number": "801-776-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "ASHLEY",
        "middle_name": "ROSEMARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "8341022-4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Choice Medical Center Inc
• Natalie Persson, BSN, RN
• Bryan Peschel
• Carlene Peters, PMHNP
• Michelle Peters
• Travis Anthony Petersen, BA, MFA
• Calista Rose Peterson, RBT
• Garrett Quinn Peterson, D.C.
• McKade Peterson
• Roger M Pickering, O.D.

• Speech-Language Pathologist in Lehi, UT
• Providers in Lehi, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.