Individual provider Active NPI

Christine Evon Petschel, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1376784249
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9239101 Issued in FL
Practice address
6206 Commerce Palms Dr
Tampa, FL 33647-1506
Phone
(813) 971-2459
NPI assigned
Mar 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9239101 FL Primary

Addresses

Primary practice location

6206 Commerce Palms Dr
Tampa, FL 33647-1506

Mailing address

9808 Creek Cross St
Tampa, FL 33647-1807
Phone (904) 234-1758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9239101FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: christine.petschel@catc.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1376784249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 CREEK CROSS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471807",
            "telephone_number": "904-234-1758",
            "fax_number": "813-345-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 COMMERCE PALMS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471506",
            "telephone_number": "813-971-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETSCHEL",
        "first_name": "CHRISTINE",
        "middle_name": "EVON",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9239101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.