Mekenna Peterson, ATC, SA
NPI 1780126680 · Athletic Trainer · Boulder, CO
Provider details
- NPI number
- 1780126680
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, SA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 20-0208 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Technologists, Technicians & Other Technical Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 175 Inverness Dr WEnglewood, CO 80112-5065Phone: (303) 694-9666
Registry dates
- Enumerated
- 2016-11-08
- Last updated
- 2021-09-01
- Certified
- 2021-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.