MS. PAULA RUTH PETERSON APRN
NPI 1225259484
Nurse Practitioner in Salt Lake City, UT

Active since May 02, 2007
100 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84113(801) 662-1678(801) 662-1676 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Paula Ruth Peterson Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PAULA RUTH PETERSON APRN (NPI 1225259484) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (181971-4405) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1225259484
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. PAULA RUTH PETERSONCredential: APRN
Location Address100 NORTH MEDICAL DRIVESalt Lake City, UT 84113
Mailing Address100 North Medical DriveSalt Lake City, UT 84113 · (801) 662-1678 · Fax (801) 662-1676
Fax(801) 662-1676
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateApril 4, 2023
NPPES CertifiedApril 4, 2023
NPI 1225259484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in UT · 181971-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
100 NORTH MEDICAL DRIVE, Salt Lake City, UT 84113

Other Identifiers 1

Medicaid942854058211UT

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
100 NORTH MEDICAL DRIVE
SALT LAKE CITY, UT 84113
Nurse Practitioner
100 NORTH MEDICAL DRIVE, PCMC OUTPATIENT REHAB
SALT LAKE CITY, UT 84113
Pediatrics
100 NORTH MEDICAL DRIVE
SALT LAKE CITY, UT 84113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paula Peterson's NPI number?

The NPI number for Paula Peterson is 1225259484. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Paula Peterson located?

Paula Peterson practices at 100 North Medical Drive, Salt Lake City, UT 84113. The listed phone number is (801) 662-1678.

What is Paula Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Paula Peterson was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.