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KELLI ANN PETERSON RN
NPI 1225276124
Licensed Practical Nurse in Pendleton, OR

Active since January 30, 2009
73265 CONFEDERATED WAY, PENDLETON, OR 97801(541) 966-9830 Get Directions Write a Review

NPPES record last updated: January 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelli Ann Peterson Rn NPPES

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

KELLI ANN PETERSON RN (NPI 1225276124) is an individual licensed practical nurse in Pendleton, Oregon, licensed in Oregon (200843278RN) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1225276124
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLI ANN PETERSONCredential: RN
Location Address73265 CONFEDERATED WAYPendleton, OR 97801
Mailing Address1011 Sw 30thPendleton, OR 97801 · (541) 310-9100
Phone(541) 966-9830
Sole ProprietorNo
Enumeration DateJanuary 30, 2009
✔ NPI 1225276124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OR · 200843278RN
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
73265 CONFEDERATED WAY, Pendleton, OR 97801
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Other Identifiers 1

Medicaid171037OR

Other Providers at the Same Location NPPES 20

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

SHELIA HELENE COE
Dentist
73265 CONFEDERATED WAY
PENDLETON, OR 97801
Umatilla County (541) 278-7517
ALLAN S. JIO
Pharmacist
73265 CONFEDERATED WAY
PENDLETON, OR 97801
Umatilla County (541) 966-9830
SHARMAN SAMS CNA
Nurse's Aide
73265 CONFEDERATED WAY
PENDLETON, OR 97801
Umatilla County (541) 966-9830
MS. MARY ELIZABETH CRANE LCPC, LSW
Counselor (Mental Health)
73265 CONFEDERATED WAY
PENDLETON, OR 97801
Umatilla County (541) 966-9830
MRS. LINDA ANN REYNOLDS RN
Registered Nurse
73265 CONFEDERATED WAY
PENDLETON, OR 97801
Umatilla County (541) 966-9830
MS. JEAN ANN FARMER R.D.
Dietitian, Registered
73265 CONFEDERATED WAY
PENDLETON, OR 97801
Umatilla County (541) 966-9830
MR. GRADY D SHAVER DMD
Dentist
73265 CONFEDERATED WAY
PENDLETON, OR 97801
Umatilla County (541) 966-9830
LINDSEY X WATCHMAN
Peer Specialist
73265 CONFEDERATED WAY
PENDLETON, OR 97801
Umatilla County (541) 966-9830

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 Kelli Peterson's NPI number?

The NPI number for Kelli Peterson is 1225276124. It was assigned to this individual provider in the NPPES registry on January 30, 2009.

Where is Kelli Peterson located?

Kelli Peterson practices at 73265 Confederated Way, Pendleton, OR 97801. The listed phone number is (541) 966-9830.

What is Kelli Peterson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelli Peterson was last updated on January 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.