Chet Peterson, RN, CCM, CDCES

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

32305508 Issued in CO

Practice address

745 Russell St
Craig, CO 81625-2019

Phone

(970) 824-8233

Fax

(970) 870-1326

NPI assigned

Dec 30, 2024

Sex

Male

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1356159842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252019",
            "telephone_number": "970-824-8233",
            "fax_number": "970-870-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252019",
            "telephone_number": "970-824-8233",
            "fax_number": "970-870-1326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Central Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804878853",
            "country_code": "US",
            "telephone_number": "970-879-1632",
            "fax_number": "970-870-1326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHET",
        "credential": "RN, CCM, CDCES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CO",
            "license": "4241846",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CO",
            "license": "32305508",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1629651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Jean Paden-Harris, FNP
• Pearson Physiotherapy
• Pearson Physiotherapy Specialists, LLC
• John T Pearson Jr., PT
• Karla Persichitte, LPC
• William W Philip, MD
• Susan Phillips
• Jennifer Pieorni
• Shelly Ann Pinnt
• Valerie J Pleasant, PT

• Diabetes Educator Registered Nurse in Craig, CO
• Providers in Craig, CO by specialty
• Diabetes Educator Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.