Marissa Peterson, MA/CCC-SLP
NPI 1669633590 · Speech-Language Pathologist · Idaho Falls, ID
Marissa Peterson, MA/CCC-SLP is a Speech-Language Pathologist provider in Idaho Falls, ID (NPI 1669633590).
Provider details
- NPI number
- 1669633590
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA/CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SLP-1685 (ID)
Specialties & taxonomies
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
18 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
- 2008-06-23
- Last updated
- 2009-07-12
Frequently asked questions
- What is Marissa Peterson's NPI number?
- Marissa Peterson's National Provider Identifier (NPI) is 1669633590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Peterson's specialty?
- Marissa Peterson is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Marissa Peterson located?
- Marissa Peterson's practice location on file with NPPES is 545 Lincoln Dr, Idaho Falls, ID 83401-4118.
- What is Marissa Peterson's phone number?
- The practice phone number listed in the NPPES registry for Marissa Peterson is (208) 757-8553.
- Is Marissa Peterson's NPI active?
- Yes — Marissa Peterson's NPI (1669633590) is active in the NPPES registry as of the last update on 2009-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.