Marie Petiote, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11017019 Issued in FL

Practice address

674 Cecelia Ave SE
Palm Bay, FL 32909-4401

Phone

(321) 261-1058

NPI assigned

Mar 9, 2023

Last updated

Feb 3, 2024By 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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23115/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glomar Medical Inc.

  • Gerontology Nurse Practitioner
  • Palm Bay, FL
  • NPI 1053913095
  Medicare reassignment NPD
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  FL

  Medicare reassignment NPD
• Ertha Healthcare LLC

  • Family Nurse Practitioner
  • Palm Bay, FL
  • NPI 1790552875
  Authorized official Same address or phone

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1245930981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 CECELIA AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094401",
            "telephone_number": "321-261-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 CECELIA AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094401",
            "telephone_number": "321-261-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIOTE",
        "first_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2024-02-03",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017019",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11017019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Perez Gonzalez
• Patricia Perez Hernandez
• Kristy Lee Perkins, BCBA
• Marissa Marie Peters
• Frederick Peterson, MD
• Briana Ariah Petty-Carter, COTA
• Pharmacy Ventures LLC (Total Health Pharmacy)
• Jouzelie Philippi-Exantus
• Esther Elizabeth Phillips-Dwyer, B.S., M. S., J.D.
• Shannon Phillips

• Family Nurse Practitioner in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.