Katherine Collins Pettengill, GNP-BC

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

075197-23 Issued in NH

Practice address

11 Northeastern Blvd Ste 340
Nashua, NH 03062-3139

Phone

(603) 860-3893

NPI assigned

Jul 10, 2017

Last updated

Jul 10, 2017By 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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1447772694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NORTHEASTERN BLVD STE 340",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623139",
            "telephone_number": "978-441-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NORTHEASTERN BLVD STE 340",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623139",
            "telephone_number": "603-860-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTENGILL",
        "first_name": "KATHERINE",
        "middle_name": "COLLINS",
        "credential": "GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NH",
            "license": "075197-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Peterson, MD
• Linda Peterson, PT
• Mary Peterson, PA
• Randy Peterson, BA
• Richanne Petrigno, MA
• Madelyne Pettengill
• Bettina Peyton, M.D.
• Haley Pezzarossi
• Rachana Phal
• Helene Pham, PA-C

• Gerontology Registered Nurse in Nashua, NH
• Providers in Nashua, NH by specialty
• Gerontology Registered Nurse in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.