Katherine Morrison Petracek

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN 12570 Issued in TN

Practice address

2200 21St Ave S
Suite 404
Nashville, TN 37212-4942

Phone

(615) 879-2332

Fax

(615) 454-3649

NPI assigned

Mar 13, 2007

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1124151923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FALLING SPRING RD",
            "city": "CHARLOTTE",
            "state": "TN",
            "postal_code": "370361300",
            "telephone_number": "615-879-2332",
            "fax_number": "615-454-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S",
            "address_2": "SUITE 404",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124942",
            "telephone_number": "615-879-2332",
            "fax_number": "615-454-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRACEK",
        "first_name": "KATHERINE",
        "middle_name": "MORRISON",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN 12570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Petit
• Maxwell Petit
• Victoria Petit
• Lindsay Petitt, RN
• Christy Lyn Petr
• Michael Petracek, M.D.
• Angela Petre, LPN
• Heather Petree, RN
• Gianna Lynn Petrelli
• Aaron Petrie, LPC-MHSP

• Psychiatric/Mental Health Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.