Tiffani Petersen, NP
Tiffani Petersen, NP is a Psychiatric/Mental Health Nurse Practitioner in Provo, UT, registered under NPI 1255968681.
Getting there
The practice address on file is 395 W COUGAR BLVD STE 601, Provo, UT 84604. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 7453288-4405 | UT | Psychiatric/Mental Health Nurse… primary |
This provider holds licence 7453288-4405 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 9234546177
- Enrollment ID
- I20210322001120
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychiatric/Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1255968681 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 25, 2020 |
| Last updated | Jan 27, 2026 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | NP |
| Practice address |
395 W COUGAR BLVD STE 601 Provo, UT 84604 (801) 357-7525 |
| Mailing address |
PO BOX 27128 Salt Lake City, UT 84127 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 5 | 5 | 9 | 6 | 8 | 6 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 1 | 5 | 9 | 6 | 7 | 6 | 7 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.