Annette Elisa Petrucelli, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0260013641 Issued in VT

Practice address

1691 Davis Rd
South Royalton, VT 05068-5056

Phone

(802) 238-8547

NPI assigned

Aug 29, 2013

Last updated

Aug 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Annette Petrucelli Robinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1144654807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 DAVIS RD",
            "city": "SOUTH ROYALTON",
            "state": "VT",
            "postal_code": "050685056",
            "telephone_number": "802-238-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 DAVIS RD",
            "city": "SOUTH ROYALTON",
            "state": "VT",
            "postal_code": "050685056",
            "telephone_number": "802-238-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUCELLI",
        "first_name": "ANNETTE",
        "middle_name": "ELISA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "0260013641",
            "primary": true
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "VT",
            "license": "0260013641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "ROBINSON",
            "middle_name": "PETRUCELLI",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katrina McHugh
• Ashley Ann Miller, MD
• Mindful Matters LLC
• Zoe Newmarco
• Freyda Neyman, MD
• Isaiah Rashad II
• Rebecca a Foulk MD PC (South Royalton Health Center)
• Ruth Anne Richardson
• Royalton Fire District 1 (South Royalton Rescue Squad)
• South Royalton School Based Health Clinic

• Registered Nurse in South Royalton, VT
• Providers in South Royalton, VT by specialty
• Registered Nurse in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.