CHET PETERSON RN CCM CDCES NPI 1356159842

NPI Information

  • NPI: 1356159842
  • Provider Name: CHET PETERSON, RN, CCM, CDCES
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Individual
  • Address: 745 RUSSELL ST
    CRAIG, CO
    ZIP 81625
  • Phone: (970) 824-8233

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NPI Details

Chet Peterson, RN, CCM, CDCES is a diabetes educator registered nurse in Craig, CO. Chet Peterson, RN, CCM, CDCES NPI is 1356159842. 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:

745 RUSSELL ST
CRAIG, CO
ZIP 81625-019
Phone: (970) 824-8233
Fax: (970) 870-1326

The enumeration date for this NPI number is 12/30/2024 and was last updated on 1/2/2025.

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
1163WC0400XRegistered NurseCase Management4241846COLORADONo
2163WD0400XRegistered NurseDiabetes Educator32305508COLORADOYes
3163W00000XRegistered NurseRN.1629651COLORADONo

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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