Individual provider
MADELIENE ALEXANDRA PETERSON
CMS NPPES lists MADELIENE ALEXANDRA PETERSON as an individual provider record with NPI 1003698507. The current record reports a primary practice location in AMERICAN FORK, UT and primary taxonomy code 367500000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location170 N 1100 EAMERICAN FORK, UT 840032961
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
163W00000XAdditional reported taxonomy367500000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- October 18, 2023
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.