Rocco Petruolo, R N

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

149246 Issued in NC

Practice address

6956 Wickersham Dr
Fayetteville, NC 28314-5156

Phone

(910) 257-5280

NPI assigned

May 27, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1275945180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6956 WICKERSHAM DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145156",
            "telephone_number": "910-257-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6956 WICKERSHAM DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145156",
            "telephone_number": "910-257-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUOLO",
        "first_name": "ROCCO",
        "name_prefix": "Mr.",
        "credential": "R N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "GA",
            "license": "RN238433",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NC",
            "license": "149246",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "579317",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NV",
            "license": "TRN308154",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "RN9204156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Vonzeal Peterson, LCSWA
• Trinity Shatia Peterson
• Ayanah Petrie
• Kevin James Petro, LPC
• Emily Elizabeth Petrucci, MS, CCC-SLP
• Audrey Petteruti, DO
• Josie Lynn Pettipiece, MS, CCC-SLP
• Natifa Pettus, LCSW
• Angela D Petty, LMFT
• Maggie Marie Petty, DPT

• Medical-Surgical Registered Nurse in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Medical-Surgical Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.