DR. ALICIA PETERSON M.D. NPI 1215296561

NPI Information

  • NPI: 1215296561
  • Provider Name: DR. ALICIA PETERSON, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30 N 1900 E RM 1C026
    SALT LAKE CITY, UT
    ZIP 84132
  • Phone: (863) 263-4012

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NPI Details

DR. Alicia Peterson, M.D. is an emergency medicine in Salt Lake City, UT with 14 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Alicia Peterson, M.D. NPI is 1215296561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

30 N 1900 E RM 1C026
SALT LAKE CITY, UT
ZIP 84132-002
Phone: (863) 263-4012

The NPI 1215296561 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 5/7/2012 and was last updated on 11/11/2021.

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
1207P00000XEmergency MedicineTL3003WYOMINGNo
2207P00000XEmergency Medicine62380MINNESOTANo
3207P00000XEmergency Medicine9353662-1205UTAHNo
4207P00000XEmergency Medicine50088ARIZONAYes

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: 11/21/2025

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