Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Eliza S. Petersen, AUD, CCCA

Audiologist in Driggs, ID · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083750996

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Registry record

Entity type Individual (Type 1)

Name Dr. Eliza S. Petersen

Credential AUD, CCCA

Sex Female

Practice address Driggs, ID, 83422

Phone (307) 745-5587

Fax (877) 515-1633

Enumeration date Jan 29, 2007

Last updated in NPPES Apr 19, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

231H00000X Audiologist Speech, Language and Hearing Service Providers · License A-974 (WY) Secondary

231H00000X Audiologist Speech, Language and Hearing Service Providers · License AUD-1142 (ID) Primary

AUD · Doctor of Audiology: A licensed audiologist diagnosing and treating hearing and balance disorders. About the AUD credential

Other identifiers

Identifier	Type	State	Issuer
807694600	Medicaid	ID	-
125563100	Medicaid	WY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Eliza Petersen?

The National Provider Identifier (NPI) for Eliza Petersen is 1083750996, a Type 1 (individual) record in the CMS NPPES registry.

Where does Eliza Petersen practice?

The practice location on file with NPPES is in Driggs, ID. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-19.