LEIF CORBIN PETERSON
NPI 1750176806
Nurse's Aide in St George, UT

Active since April 10, 2025PECOS Enrolled
37 N STONE MOUNTAIN DR, ST GEORGE, UT 84770(435) 229-8659 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leif Corbin Peterson NPPES

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

LEIF CORBIN PETERSON (NPI 1750176806) is an individual nurse's aide in St George, Utah, licensed in Utah (UT012780601432) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1750176806
Entity TypeIndividualMale
Primary Taxonomy376K00000X
Provider Legal NameLEIF CORBIN PETERSON
Location Address37 N STONE MOUNTAIN DRSt George, UT 84770-8010
Mailing Address37 N Stone Mountain DrSt George, UT 84770-8010 · (435) 229-8659
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 10, 2025
Last NPPES UpdateApril 12, 2025
NPPES CertifiedApril 12, 2025
NPI 1750176806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License Licensed in UT · UT012780601432
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
37 N STONE MOUNTAIN DR, St George, UT 84770

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leif Corbin Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224537899
PECOS Enrollment IDI20250820000181
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Home Health
37 N STONE MOUNTAIN DR
ST GEORGE, UT 84770

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 Leif Peterson's NPI number?

The NPI number for Leif Peterson is 1750176806. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Leif Peterson located?

Leif Peterson practices at 37 N Stone Mountain Dr, St George, UT 84770. The listed phone number is (435) 229-8659.

What is Leif Peterson's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

Is Leif Peterson enrolled in Medicare?

Yes. Leif Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leif Peterson was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.