Kathy Pedersen, PA-C, MPAS
NPI 1265419022 · Family Medicine Physician · Salt Lake City, UT
Kathy Pedersen, PA-C, MPAS is a Family Medicine Physician provider in Salt Lake City, UT (NPI 1265419022).
Provider details
- NPI number
- 1265419022
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C, MPAS
- Sex
- Female
- Sole proprietor
- No
- License
- 102701-1206 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2005-12-22
- Last updated
- 2007-07-19
Frequently asked questions
- What is Kathy Pedersen's NPI number?
- Kathy Pedersen's National Provider Identifier (NPI) is 1265419022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathy Pedersen's specialty?
- Kathy Pedersen is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kathy Pedersen located?
- Kathy Pedersen's practice location on file with NPPES is 4745 S 3200 W, Salt Lake City, UT 84118-2822.
- What is Kathy Pedersen's phone number?
- The practice phone number listed in the NPPES registry for Kathy Pedersen is (801) 964-6214.
- Is Kathy Pedersen's NPI active?
- Yes — Kathy Pedersen's NPI (1265419022) is active in the NPPES registry as of the last update on 2007-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.