Travis Peterson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

356362 Issued in MN

Practice address

502 Minnesota Ave NW
Bemidji, MN 56601-3060

Phone

(218) 333-3100

NPI assigned

Sep 1, 2026

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1528976156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9329 OMAN RD NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566018420",
            "telephone_number": "218-760-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MINNESOTA AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013060",
            "telephone_number": "218-333-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Division St W",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566019723",
            "country_code": "US",
            "telephone_number": "218-333-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Middle School Avenue NW",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "56601",
            "country_code": "US",
            "telephone_number": "218-333-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "356362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan B Peterson, PT
• Katie Louise Peterson, DDS
• Meghan Peterson, LICSW
• Nancy Jo Peterson, MS CCC SLP
• Robin Peterson, LPN
• Ross E. Pettit, MD
• Jane Ella Phelps, LADC
• Physicians Clinic of Minnesota
• Charles William Picard, OD
• Piece of Mind Counseling Services, PLLC

• Speech-Language Pathologist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.