Eliza Petersen, AUD, CCCA
NPI 1083750996 · Audiologist · Driggs, ID
Eliza Petersen, AUD, CCCA is a Audiologist provider in Driggs, ID (NPI 1083750996).
Provider details
- NPI number
- 1083750996
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUD, CCCA
- Sex
- Female
- Sole proprietor
- Yes
- License
- A-974 (WY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2023-04-19
- Certified
- 2023-04-19
Frequently asked questions
- What is Eliza Petersen's NPI number?
- Eliza Petersen's National Provider Identifier (NPI) is 1083750996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eliza Petersen's specialty?
- Eliza Petersen is listed in the NPPES registry with a primary specialty of Audiologist (Speech, Language and Hearing Service Providers).
- Where is Eliza Petersen located?
- Eliza Petersen's practice location on file with NPPES is 2740 Shadowmoon Ln Ste 417, Driggs, ID 83422-5083.
- What is Eliza Petersen's phone number?
- The practice phone number listed in the NPPES registry for Eliza Petersen is (307) 745-5587.
- Is Eliza Petersen's NPI active?
- Yes — Eliza Petersen's NPI (1083750996) is active in the NPPES registry as of the last update on 2023-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.