Norma J Peterson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

098006028 CRNA Issued in OR

Practice address

65 N Medical Dr
John Moran Eye Center University of Utah
Salt Lake City, UT 84132-1000

Phone

(801) 587-6635

NPI assigned

Oct 3, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Norma J Gaultney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD (past)
• Marquart Anesthesia Services PA Inc

  • Certified Registered Nurse Anesthetist
  • Medford, OR
  • NPI 1871743765

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1477540706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N MEDICAL DR",
            "address_2": "JOHN MORAN EYE CENTER UNIVERSITY OF UTAH",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841321000",
            "telephone_number": "801-587-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MEDICAL DR",
            "address_2": "JOHN MORAN EYE CENTER UNIVERSITY OF UTAH",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841321000",
            "telephone_number": "801-587-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "NORMA",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "098006028 CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210223",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORMA",
            "last_name": "GAULTNEY",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Peterson, MD
• Michael S Peterson, O.D.
• Micheala Peterson
• Mitchell Taylor Peterson, DPT
• Myranda Peterson, LCSW
• Paula Ruth Peterson, APRN
• Penny L Peterson, LCSW
• Rachelle Nora Peterson
• Robert G Peterson, M.D.
• Shauna Peterson

• Certified Registered Nurse Anesthetist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.