Petula Yenter Gunn, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-090105 Issued in AL

Practice address

3180 N Point Pkwy Ste 303
Alpharetta, GA 30005-4522

Phone

(678) 205-9004

NPI assigned

Nov 30, 2007

Last updated

Jun 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Petula Elsie Yenter Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Internal Medicine

  • Internal Medicine Physician
  • Suwanee, GA
  • NPI 1104966050
  Medicare reassignment NPD
• Comprehensive Internal Medicine

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1154514339
  Medicare reassignment NPD

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1659553774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 LAKEFAIRE CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246963",
            "telephone_number": "334-740-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 N POINT PKWY STE 303",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054522",
            "telephone_number": "678-205-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "PETULA",
        "middle_name": "YENTER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-090105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETULA",
            "last_name": "YENTER",
            "middle_name": "ELSIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janice Ponder Guice, CCC-SLP
• Krista B Guichard, M.D.
• Sujoy Gulati, MD
• Linda A. Gullatte, LPC
• Mekhriniso Gulyamova, MS
• Amita Gupta, PT
• Sunita Gupta, MD
• Juliane Silva Gurgel Costa
• Larry Shawn Gurley, DDS
• Alberto Perez Gutierrez

• Family Nurse Practitioner in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.