Kelly Nicole Petion

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

23901 Issued in FL

Practice address

4271 NW 5TH St Apt 126
Plantation, FL 33317-2110

Phone

(305) 849-1504

NPI assigned

Feb 16, 2016

Last updated

Feb 16, 2016By the provider in NPPES

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": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1225497423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4271 NW 5TH ST APT 126",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172110",
            "telephone_number": "305-849-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4271 NW 5TH ST APT 126",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172110",
            "telephone_number": "305-849-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETION",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "23901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Plantation, FL
• Providers in Plantation, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.