MS. KATHLEEN MARIE PECK PHN
NPI 1275749863
Registered Nurse - Administrator in Auburn, CA

Active since May 14, 2007
11670 ATWOOD RD, AUBURN, CA 95603(530) 887-2800(530) 887-2202 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kathleen Marie Peck Phn NPPES

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

MS. KATHLEEN MARIE PECK PHN (NPI 1275749863) is an individual administrator provider in Auburn, California, licensed in California (153753) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1275749863
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameMS. KATHLEEN MARIE PECKCredential: PHN
Location Address11670 ATWOOD RDAuburn, CA 95603-9522
Mailing Address615 Oakhaven RdAuburn, CA 95603-4029 · (530) 888-8745
Fax(530) 887-2202
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1275749863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License Licensed in CA · 153753
11670 ATWOOD RD, Auburn, CA 95603

Other Names 1

Other Name (5)Ms. Kathleen Stanton Peck Phn

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.

Dental Hygienist
11670 ATWOOD RD
AUBURN, CA 95603
Nurse Practitioner (Family)
11670 ATWOOD RD
AUBURN, CA 95603
Dental Hygienist
11670 ATWOOD RD
AUBURN, CA 95603
Nurse Practitioner (Family)
11670 ATWOOD RD
AUBURN, CA 95603
Clinic/Center (Federally Qualified Health Center (FQHC))
11670 ATWOOD RD
AUBURN, CA 95603
Clinic/Center
11670 ATWOOD RD
AUBURN, CA 95603
Counselor (Mental Health)
11670 ATWOOD RD
AUBURN, CA 95603
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11670 ATWOOD RD
AUBURN, CA 95603

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 Kathleen Peck's NPI number?

The NPI number for Kathleen Peck is 1275749863. It was assigned to this individual provider in the NPPES registry on May 14, 2007. The provider is also known as Ms. Kathleen Stanton Peck Phn.

Where is Kathleen Peck located?

Kathleen Peck practices at 11670 Atwood Rd, Auburn, CA 95603. The listed phone number is (530) 887-2800.

What is Kathleen Peck's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Kathleen Peck was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.