MS. PAULA RUTH PETERSON (NPI# 1225259484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225259484 |
| Entity Type | Individual |
| Full Name | MS. PAULA RUTH PETERSON |
| Credential | APRN |
| Practice Address |
100 North Medical Drive Salt Lake City UT 84113 |
| Practice Telephone | 8016621678 |
| Practice Fax Number | 8016621676 |
| Mailing Telephone | 8016621678 |
| Mailing Fax Number | 8016621676 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0800X |
Registered Nurse Specialization: Neuroscience |
18119714405 | UT | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 942854058211 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198545 | Paula M. Peterson | Massage Therapist | 2773 Cherry St, Canon City, CO 81212-2618 | 2020-03-10 |
| 1457741480 | Paula Jen Peterson | Speech-Language Pathologist | 2088 N 4th St, Seward, NE 68434-8146 | 2015-01-29 |
| 1972538619 | Paula L Peterson | Physical Medicine & Rehabilitation | 3525 Keith Street Nw, Suite M, Cleveland, TN 37312-4354 | 2006-07-11 |
| 1659701076 | Paula Peterson | Social Worker | 118 N 5th St, Oneill, NE 68763-1565 | 2013-11-21 |
| 1922252188 | Paula Marie Peterson | Counselor | 505 S Dewey St, Suite 208, Eau Claire, WI 54701-3704 | 2008-11-13 |
| 1164504163 | Paula Peterson | Social Worker | 300 Center Dr, County Center Bldg-2nd Floor, Riverhead, NY 11901-3393 | 2006-10-19 |
| 1073624524 | Paula C Peterson | Optometrist | 440 N Alvernon Way, Tucson, AZ 85711-1958 | 2006-08-31 |
| 1568473601 | Paula M Peterson | Nurse Practitioner | 2919 Markum Dr, Fort Worth, TX 76117-4004 | 2006-08-11 |
| Street Address |
100 NORTH MEDICAL DRIVE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471421 | Beverly A Krensky | Nurse Practitioner | 100 North Medical Drive, Pcmc Outpatient Rehab, Salt Lake City, UT 84113 | 2005-07-14 |
| 1568569002 | Rajendu Srivastava | Pediatrics | 100 North Medical Drive, Salt Lake City, UT 84113 | 2006-09-19 |
| 1821195371 | Per Hans Gesteland | Internal Medicine | 100 North Medical Drive, Salt Lake City, UT 84113 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 163WN0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neuroscience |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265093777 | Josh Twitchell | Registered Nurse | 1408 E Gilmer Dr, Salt Lake City, UT 84105-1605 | 2019-06-25 |
| 1114587482 | Christopher Glenn Taylor | Registered Nurse | 3137 S Teton Dr, Salt Lake City, UT 84109-2330 | 2019-06-18 |
| City | SALT LAKE CITY |
| Zip Code | 84113 |
Please comment or provide details below to improve the information on MS. PAULA RUTH PETERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.