Active NPI
Daryl Lynn Peterson II
- Family Medicine Physician
- Harrisville, UT
National Provider Identifier
1447162649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7303725-3102
- Practice address
- 579 W 2425 N
Harrisville, UT 84414-7366 - Phone
- (801) 391-9477
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7303725-3102 | UT | Primary |
Addresses
Primary practice location
579 W 2425 N
Harrisville, UT 84414-7366
Mailing address
579 W 2425 N
Harrisville, UT 84414-7366
Phone (801) 391-9477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1447162649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579 W 2425 N",
"city": "HARRISVILLE",
"state": "UT",
"postal_code": "844147366",
"telephone_number": "801-391-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 W 2425 N",
"city": "HARRISVILLE",
"state": "UT",
"postal_code": "844147366",
"telephone_number": "801-391-9477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "DARYL",
"middle_name": "LYNN",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "7303725-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.