Petra Management Consultants LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PETRA MANAGEMENT CONSULTANTS LLC

Practice address

110 Squires CT
Kernersville, NC 27284-9494

Phone

(336) 416-5944

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Cheryl Fisher

Title

Owner

Phone

(336) 416-5944

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1649046822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SQUIRES CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SQUIRES CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849494",
            "telephone_number": "336-416-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRA MANAGEMENT CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-416-5944"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niphan Pesayanavin, DPT,PT, LAT,ATC
• Craig Michael Peters, LPC
• Elizabeth Grace Peters
• Vershelle Peterson
• Fadora Petit Jean
• Katie Rose Petrola, DDS
• Trilbian Pettigrew
• Laura Phelps, D.D.S.
• Jaret Phillips, M.A., LCMHCA, NCC
• Physical Medicine of the Carolina's

• Exclusive Provider Organization in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Exclusive Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.