KIM D PETERSON
NPI 1336749084
Case Manager/Care Coordinator in Salt Lake City, UT

Q: What is Kim Peterson's NPI number?

The NPI number for Kim Peterson is 1336749084. It was assigned to this individual provider in the NPPES registry on October 30, 2020.

Q: What is Kim Peterson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Peterson was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 30, 2020

1370 S WEST TEMPLE, SALT LAKE CITY, UT 84115(801) 678-3317 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kim D Peterson NPPES

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

KIM D PETERSON (NPI 1336749084) is an individual case manager/care coordinator provider in Salt Lake City, Utah and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1336749084

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameKIM D PETERSON

Location Address1370 S WEST TEMPLESalt Lake City, UT 84115-5218

Mailing Address1370 S West TempleSalt Lake City, UT 84115-5218 · (801) 678-3317

Phone(801) 678-3317

Sole ProprietorNo

Enumeration DateOctober 30, 2020

Last NPPES UpdateNovember 27, 2023

NPPES CertifiedOctober 30, 2020

✔ NPI 1336749084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1370 S WEST TEMPLE, Salt Lake City, UT 84115

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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.

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