Trina Johnson Pettiford

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

9244404 Issued in FL

Practice address

8642 NW 55TH PL
Coral Springs, FL 33067-2808

Phone

(954) 638-7096

NPI assigned

Nov 6, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1003786070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8642 NW 55TH PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672808",
            "telephone_number": "954-638-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8642 NW 55TH PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672808",
            "telephone_number": "954-638-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON PETTIFORD",
        "first_name": "TRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "FL",
            "license": "9244404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel I Kimmel PHD PA
• Vera Joffe, PH.D.
• John S Bazos,D.M.D.,P.a.
• John T Grigg MD PA
• Serinah John
• Ashanti Johnson
• Dana Carol Johnson, MS CCC-SLP
• Elaine Lenore Johnson, LMT
• Jerrod K. Johnson, PSY.D.
• Justine Yvette Johnson

• Clinical Nurse Specialist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.