Kamryn Peterson, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2908 Issued in ND

Practice address

2200 Library Cir
Grand Forks, ND 58201-6326

Phone

(701) 772-3851

Fax

(701) 757-2156

NPI assigned

Jun 17, 2025

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

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Little Miracles, Inc.

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1821110982
  Medicare reassignment NPD

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1861388647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LIBRARY CIR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LIBRARY CIR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016326",
            "telephone_number": "701-772-3851",
            "fax_number": "701-757-2156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2951 S 34th St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582016061",
            "country_code": "US",
            "telephone_number": "701-772-3851",
            "fax_number": "701-772-3852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KAMRYN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "2908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peterson Medical Clinics, LLC
• Bonnie Peterson, LICSW
• Charlotte L Peterson
• Emma Peterson
• Jennifer M Peterson, MD
• Kathleen A Peterson, LAPC
• Kristopher W Peterson, DPT
• Lexi Marie Peterson
• Mark G Peterson, MD
• Michelle Jo Peterson

• Speech-Language Pathologist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.