Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Lynne Peterson, PA-C

Individual provider Athletic Trainer · NPI 1528119906

Katie Lynne Peterson, PA-C is an Athletic Trainer in Prescott Valley, Arizona. Licensed in Arizona, California and Indiana. Registered with an NPI since 2007.

Licensed in
AZ, CA, IN
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3151 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone: (928) 778-4711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6032 (AZ)
Athletic Trainer Taxonomy 2255A2300X · Licence 36001348A (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA21714 (CA)

Record details

NPI number1528119906
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 14, 2007
Last updated in NPPESMay 10, 2017

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