KYLIE PETERSON (NPI# 1699134809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699134809 |
| Entity Type | Individual |
| Full Name | KYLIE PETERSON |
| Credential | RDN, CD, CDE |
| Practice Address |
201 W Layton Pkwy Layton UT 84041-3692 |
| Practice Telephone | 8015436089 |
| Practice Fax Number | 8015436064 |
| Mailing Telephone | 8015436089 |
| Mailing Fax Number | 8015436064 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1082011 | UT | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | D-900 | ID | Dietary & Nutritional Service Providers |
| Street Address |
201 W LAYTON PKWY |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-3692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801233994 | Tolbin Matthew Collett | Otolaryngology | 201 W Layton Pkwy, Layton, UT 84041 | 2013-05-29 |
| 1568022200 | Taylor Mary Permenter | Physical Therapist | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2019-06-14 |
| 1730650409 | Shawnel Stacy | Dietitian, Registered | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2018-12-06 |
| 1023593431 | Ihc Health Services Inc | Clinic/Center | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2018-10-02 |
| 1952891608 | Mackenzie Dalrymple | Physical Therapist | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2018-05-17 |
| 1811486533 | Ihc Health Services Inc | Pediatrics | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2018-05-08 |
| 1457840175 | Health Services Inc | Obstetrics & Gynecology | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2018-05-08 |
| 1316436041 | Ihc Health Services Inc | Hospitalist | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2018-05-08 |
| 1508372053 | Ihc Health Services Inc | Internal Medicine | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2017-12-20 |
| 1790291243 | Ihc Health Services Inc | Internal Medicine | 201 W Layton Pkwy, Layton, UT 84041 | 2017-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181943 | Rachel Fantine Chaffetz | Dietitian, Registered | 2984 N Hill Field Rd Ste A1-a, Layton, UT 84041-1306 | 2020-10-11 |
| 1093323636 | Natasha Lyn Mills | Dietitian, Registered | 1600 W Antelope Dr Bldg Room, Layton, UT 84041-1120 | 2020-07-20 |
| 1164853800 | Julie Anne Hansen | Dietitian, Registered | 1904 West Gordon Avenue, Layton, UT 84041-7232 | 2013-12-05 |
| 1386658698 | Kellie A Dye | Dietitian, Registered | 2075 University Park Blvd, Layton, UT 84041-1611 | 2006-07-29 |
| 1174159123 | Nichole Laura Stahle | Dietitian, Registered | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2020-03-20 |
| 1467088419 | Brooke Maughan Lister | Dietitian, Registered | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2020-03-20 |
| 1386209641 | Rachael Gardner | Dietitian, Registered | 2121 N 1700 W, Layton, UT 84041-8803 | 2019-05-02 |
| 1952862310 | Rosalyn Smith Warner | Dietitian, Registered | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2019-03-28 |
| 1730650409 | Shawnel Stacy | Dietitian, Registered | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2018-12-06 |
| 1679064752 | Calene Van Noy | Dietitian, Registered | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-05-23 |
| Find all providers in LAYTON | ||||
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| 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.