Active NPI
Claire A Petrie, ARNP
- Gerontology Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1053591065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- ARNP1222292
- Practice address
- 600 W Gregory St
Pensacola, FL 32502 - Phone
- (850) 434-8071
- NPI assigned
- Nov 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | ARNP1222292 | FL | Primary |
Addresses
Primary practice location
600 W Gregory St
Pensacola, FL 32502
Mailing address
PO Box 37277
Pensacola, FL 32526-0277
Phone (850) 516-1919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306540500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John a Vanlandingham, MD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Brewton, AL
- NPI 1235309576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1053591065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37277",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325260277",
"telephone_number": "850-516-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W GREGORY ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32502",
"telephone_number": "850-434-8071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRIE",
"first_name": "CLAIRE",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-07",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "ARNP1222292",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306540500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.