Kirk Petrie, RRT

Primary specialty

Neonatal/Pediatric Registered Respiratory TherapistTaxonomy code 2279P3900X

License

0117003639 Issued in VA

Practice address

808 Wiggington Rd Ste E
Lynchburg, VA 24502-5155

Phone

(434) 385-4001

Fax

(434) 385-1003

NPI assigned

Jun 2, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tender Hearts Home Health

  • Durable Medical Equipment & Medical Supplies
  • Lynchburg, VA
  • NPI 1326083791
  NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1093339459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 WIGGINGTON RD STE E",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025155",
            "telephone_number": "434-385-4001",
            "fax_number": "434-385-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 WIGGINGTON RD STE E",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025155",
            "telephone_number": "434-385-4001",
            "fax_number": "434-385-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "KIRK",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "VA",
            "license": "0117003639",
            "primary": false
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "VA",
            "license": "0117003639",
            "primary": false
        },
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "VA",
            "license": "0117003639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne L Peters, LPC, LMFT
• Tawnya Markham Peters, NP-C
• Nicholas Todd Petersen
• Christina Peterson, FNP
• John Petrie, PHARMD
• Mary A Petrie, MS, OTR/L
• Arthur Michael Petrikonis, MSN, FNP-BC
• Virginia Petrikonis, NP
• Craig John Petry, M.D.
• Augustus Allen Petticolas Jr., D.D.S.

• Registered Respiratory Therapist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Registered Respiratory Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.