Individual provider Active NPI

Janet Marie Fish Peterson, MS-CCC, SLP

  • Speech-Language Pathologist
  • Bemidji, MN
National Provider Identifier
1558279182
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
357995 Issued in MN
Practice address
1617 5TH St NE
Bemidji, MN 56601-4627
Phone
(218) 333-3250
Fax
(218) 333-3480
NPI assigned
Sep 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 357995 MN Primary

Addresses

Primary practice location

1617 5TH St NE
Bemidji, MN 56601-4627

Mailing address

1617 5TH St NE
Bemidji, MN 56601-4627
Phone (218) 333-3250

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": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1558279182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 5TH ST NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014627",
            "telephone_number": "218-333-3250",
            "fax_number": "218-333-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 5TH ST NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014627",
            "telephone_number": "218-333-3250",
            "fax_number": "218-333-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH PETERSON",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "credential": "MS-CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "357995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • 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.