1. Home
  2. Directory
  3. California
  4. Palm Desert
  5. Nurse Practitioner
  6. NPI Profile

MRS. KELLY TERESA PECK NP-C
NPI 1235856071
Nurse Practitioner - Primary Care in Palm Desert, CA

Active since October 24, 2022
36921 COOK ST STE 102, PALM DESERT, CA 92211(760) 836-9066 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelly Teresa Peck Np-c NPPES

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

MRS. KELLY TERESA PECK NP-C (NPI 1235856071) is an individual primary care provider in Palm Desert, California, licensed in California (95022984) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1235856071
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. KELLY TERESA PECKCredential: NP-C
Location Address36921 COOK ST STE 102Palm Desert, CA 92211-6070
Mailing Address2193 E Del Lago RdPalm Springs, CA 92262-2511 · (805) 746-2696
Phone(760) 836-9066
Sole ProprietorNo
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 22, 2022
✔ NPI 1235856071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95022984
36921 COOK ST STE 102, Palm Desert, CA 92211
Open in Google Maps ↗

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 Kelly Peck's NPI number?

The NPI number for Kelly Peck is 1235856071. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Kelly Peck located?

Kelly Peck practices at 36921 Cook St Ste 102, Palm Desert, CA 92211. The listed phone number is (760) 836-9066.

What is Kelly Peck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kelly Peck was last updated on October 24, 2022. 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.