DANIEL PETERSON FNP-C NPI 1194411355

NPI Information

  • NPI: 1194411355
  • Provider Name: DANIEL PETERSON, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 470 E 3900 S STE 200
    SALT LAKE CITY, UT
    ZIP 84107
  • Phone: (801) 747-2800

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NPI Details

Daniel Peterson, FNP-C is a family nurse practitioner in Salt Lake City, UT with 2 years of experience. Daniel Peterson, FNP-C NPI is 1194411355. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

470 E 3900 S STE 200
SALT LAKE CITY, UT
ZIP 84107-332
Phone: (801) 747-2800

The NPI 1194411355 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2023 and was last updated on 11/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily10366644-8900UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1260022408OTHERUTAHRAILROAD MEDICARE
28760003008007MEDICAIDUTAH
3000055266OTHERUTAHMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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