IndividualActive
Holly Petersen
NPI 1083184402 · Community Health Worker · Salt Lake City, UT
Holly Petersen is a Community Health Worker provider in Salt Lake City, UT (NPI 1083184402).
Provider details
- NPI number
- 1083184402
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1020 S Main St # 200
Salt Lake City, UT 84101-3176
Phone: (801) 539-7000
Street-level locationGet directions
Mailing address
4460 S Highland Dr
Salt Lake City, UT 84124-3543
Registry dates
- Enumerated
- 2018-11-28
- Last updated
- 2018-11-28
Frequently asked questions
- What is Holly Petersen's NPI number?
- Holly Petersen's National Provider Identifier (NPI) is 1083184402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Holly Petersen's specialty?
- Holly Petersen is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Holly Petersen located?
- Holly Petersen's practice location on file with NPPES is 1020 S Main St # 200, Salt Lake City, UT 84101-3176.
- What is Holly Petersen's phone number?
- The practice phone number listed in the NPPES registry for Holly Petersen is (801) 539-7000.
- Is Holly Petersen's NPI active?
- Yes — Holly Petersen's NPI (1083184402) is active in the NPPES registry as of the last update on 2018-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.