MS. NANCY JO PETERSON (MS CCC SLP) – Speech-Language Pathologist, NPI 1215112933

Speech-Language Pathologist

MS. NANCY JO PETERSON (MS CCC SLP) is a healthcare provider. based in Bemidji, Minnesota. specializing in Speech-Language Pathologist. They hold the professional credentials MS CCC SLP. They hold a License No. 7693 (MN). The NPI Number for MS. NANCY JO PETERSON (MS CCC SLP) is 1215112933

Main info

Female

Sole Proprietor

Name

MS. NANCY JO PETERSON (MS CCC SLP)

NPI

1215112933

Phone

(218) 751-2588

Address

4635 WAVILLE RD NE

Enumeration Date

31 December 2007

Last Update Date

31 December 2007

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience50

Completeness75

Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MS. NANCY JO PETERSON (MS CCC SLP)

4635, Waville Road Northeast, Bemidji, Beltrami County, Minnesota, 56601, United States
BEMIDJI, MN 566018983
Phone: (218) 751-2588
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56601)

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Reviews

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Frequently asked questions

What federal number belongs to MS. NANCY JO PETERSON (MS CCC SLP)?

The federal identifier for MS. NANCY JO PETERSON (MS CCC SLP) is NPI 1215112933.

Does this profile mean MS. NANCY JO PETERSON (MS CCC SLP) is currently active?

Yes — MS. NANCY JO PETERSON (MS CCC SLP) appears active in the national provider directory.

Does MS. NANCY JO PETERSON (MS CCC SLP) list a primary specialty?

If you are matching referrals, note Speech-Language Pathologist for MS. NANCY JO PETERSON (MS CCC SLP). Clinical services aligned with this taxonomy classification.

Does MS. NANCY JO PETERSON (MS CCC SLP) practice in Minnesota?

You will see Bemidji, Minnesota on file for MS. NANCY JO PETERSON (MS CCC SLP) alongside any extra practice locations.

Is MS. NANCY JO PETERSON (MS CCC SLP) a real provider?

This page reflects official NPPES data for NPI 1215112933. Always confirm identity and privileges with the practice and licensing boards.