Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jeffrey Peterson, ATC
Athletic Trainer in Ham Lake, MN · enumerated 2014.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1245630177
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Registry record
Entity type Individual (Type 1)
Name Jeffrey Peterson
Credential ATC
Sex Male
Practice address 17735 Xylite St Ne, Ham Lake, MN, 55304
Phone (763) 213-2033
Enumeration date Aug 28, 2014
Last updated in NPPES Aug 28, 2014
Taxonomy & licenses
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
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.
Frequently asked questions
Where does Jeffrey Peterson practice?
The practice location on file with NPPES is in Ham Lake, MN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jeffrey Peterson?
The National Provider Identifier (NPI) for Jeffrey Peterson is 1245630177, a Type 1 (individual) record in the CMS NPPES registry.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-28.