Individual provider Active NPI

Gaelle Petit Homme, RN

  • School Registered Nurse
  • New York, NY
National Provider Identifier
1396519617
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
993713 Issued in NY
Practice address
1412 Broadway FL FL
New York, NY 10018-9228
Phone
(718) 615-0049
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 993713 NY Primary

Addresses

Primary practice location

1412 Broadway FL FL
New York, NY 10018-9228

Mailing address

627 E 81St St FL 1
Brooklyn, NY 11236-3303
Phone (516) 859-1687

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
346769-04NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1396519617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 E 81ST ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363303",
            "telephone_number": "516-859-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 BROADWAY FL FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100189228",
            "telephone_number": "718-615-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIT HOMME",
        "first_name": "GAELLE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "993713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.