Active NPI
Kyle R Peters, PHARMD
- Clinical Pharmacology Physician
- Sioux City, IA
National Provider Identifier
1306827233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pharmacology Physician
- License
- 20044
- Practice address
- 1021 Nebraska St
Sioux City, IA 51105-1436 - Phone
- (712) 252-2477
- Fax
- (712) 252-5516
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pharmacology Physician | 208U00000X | 20044 | IA | Primary |
Addresses
Primary practice location
1021 Nebraska St
Sioux City, IA 51105-1436
Mailing address
1021 Nebraska St
PO Box 5410
Sioux City, IA 51105-1436
Phone (712) 252-2477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092080 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20044 | IA | MD | Clinical Pharmacology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306827233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 NEBRASKA ST",
"address_2": "PO BOX 5410",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511051436",
"telephone_number": "712-252-2477",
"fax_number": "712-252-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 NEBRASKA ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511051436",
"telephone_number": "712-252-2477",
"fax_number": "712-252-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "KYLE",
"middle_name": "R",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208U00000X",
"taxonomy_group": "",
"desc": "Clinical Pharmacology",
"state": "IA",
"license": "20044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0092080",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.