Rylee Petersen

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

14201933-3503 Issued in UT

Practice address

12760 S Park Ave Unit 520
Riverton, UT 84065-3422

Phone

(801) 407-0047

Fax

(888) 400-9232

NPI assigned

Apr 13, 2026

Last updated

Apr 13, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1508709460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 W 3450 N",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844048616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 S PARK AVE UNIT 520",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840653422",
            "telephone_number": "801-407-0047",
            "fax_number": "888-400-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "RYLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "UT",
            "license": "14201933-3503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PDC Riverton LLC (Platinum Dental Care)
• Jennifer J. Peacock, DNP, APRN, NNP-BC
• Haley H Pedersen, FNP-C
• Pediatric Inpatient Services Riverton
• Kenna Renee Peters, PT
• Peterson Foodtown Inc (Petersons Pharmacy)
• Peterson Market LLC (Peterson's Fresh Market)
• Jeffrey Steven Peterson, MD
• John Michael Peterson, DDS
• Jordan Peterson

• Case Manager/Care Coordinator in Riverton, UT
• Providers in Riverton, UT by specialty
• Case Manager/Care Coordinator in Utah

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

Verify at the official NPI Registry.