KATHY PETERSON
NPI 1407601644
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Saint Ignace, MI

Q: What is Kathy Peterson's NPI number?

The NPI number for Kathy Peterson is 1407601644. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Kathy Peterson's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Kathy Peterson was last updated on April 22, 2024. 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 April 22, 2024

PO BOX 307, SAINT IGNACE, MI 49781(906) 643-8774(906) 984-2028 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kathy Peterson NPPES

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

KATHY PETERSON (NPI 1407601644) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Saint Ignace, Michigan, licensed in Michigan (AS490300190) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1407601644

Entity TypeIndividualFemale

Primary Taxonomy320600000X

Provider Legal NameKATHY PETERSON

Location AddressPO BOX 307Saint Ignace, MI 49781-0307

Mailing AddressN881 Gros Cap RdSaint Ignace, MI 49781-9837 · (906) 643-8774 · Fax (906) 984-2028

Phone(906) 643-8774

Fax(906) 984-2028

Sole ProprietorYes

Enumeration DateApril 22, 2024

NPPES CertifiedApril 22, 2024

✔ NPI 1407601644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in MI · AS490300190

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

PO BOX 307, Saint Ignace, MI 49781

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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 Kathy Peterson's NPI number?

The NPI number for Kathy Peterson is 1407601644. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Kathy Peterson located?

Kathy Peterson practices at PO Box 307, Saint Ignace, MI 49781. The listed phone number is (906) 643-8774.

What is Kathy Peterson's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Kathy Peterson was last updated on April 22, 2024. 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.