William Peters III

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

880 E 3375 S
Salt Lake City, UT 84106-1536

Phone

(801) 708-3418

Fax

(801) 708-7004

NPI assigned

Sep 3, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Billy Peters Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1790185262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E 100 S STE 301",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111727",
            "telephone_number": "801-428-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E 3375 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061536",
            "telephone_number": "801-708-3418",
            "fax_number": "801-708-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "WILLIAM",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLY",
            "last_name": "PETERS",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Douglas J. Peters Jr., MD
• Jill Peters, MPH, RDN, CD
• Mataya Peters
• Rebecca Peters, LCSW
• Sandra C Peters, APRN
• Anna Lind Petersen, PA
• Anne Petersen, LCSW
• Anthony Michael Petersen, M.D.
• Brett Petersen
• Brian Lamar Petersen, LCSW

• Community Health Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Community Health Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.