Catherine Kelly Peterson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5901190-4405 Issued in UT

Practice address

5711 S 1475 E Ste 201
South Ogden, UT 84403-5185

Phone

(801) 332-9034

NPI assigned

Mar 27, 2019

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Catherine Kelly Pierce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Wasatch Functional Medicine

  • Clinic/Center
  • South Ogden, UT
  • NPI 1396499414
  NPD

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1750842381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 S 1475 E STE 201",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035185",
            "telephone_number": "801-332-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 S 1475 E STE 201",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035185",
            "telephone_number": "801-332-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CATHERINE",
        "middle_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5901190-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "PIERCE",
            "middle_name": "KELLY",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tylean Peck
• Pediatric Care of Ogden
• Tessa Pentz, RBT
• Peoplefirst Homecare & Hospice of Utah, LLC
• Tina Perry, RBT
• Shaylee C Pettit, NURSE PRACTITIONER
• Millie Pfaff, ACHMC
• Morgan Piippo
• Pinnacle Preventative Health
• Lauren Marie Pizarro, APRN, RN

• Family Nurse Practitioner in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.