Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kevin Bradley Peterson, AU.D

Audiologist in Edmonds, WA · enumerated 2018 · practices at Proliance Surgeons, Inc., P.S..

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

National Provider Identifier

1215412317

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Registry record

Entity type Individual (Type 1)

Name Dr. Kevin Bradley Peterson

Credential AU.D

Sex Male

Practice address 21911 76th Ave W Ste 211, Edmonds, WA, 98026

Phone (425) 775-6651

Enumeration date Sep 25, 2018

Last updated in NPPES Oct 5, 2018

Taxonomy & licenses

237600000X Audiologist-Hearing Aid Fitter Speech, Language and Hearing Service Providers · License LD60889235 (WA) Secondary

231H00000X Audiologist Speech, Language and Hearing Service Providers · License LD60889235 (WA) 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
2108044	Medicaid	WA	-

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.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Kevin Peterson?

Kevin Peterson is registered in NPPES with the primary taxonomy of Audiologist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-05.