Charlene Petretti, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN9276190 Issued in FL

Practice address

1845 Holsonback Dr
Daytona Beach, FL 32117-5282

Phone

(386) 274-0500

NPI assigned

May 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1700633039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DR CARTER BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321106212",
            "telephone_number": "386-437-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 HOLSONBACK DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175282",
            "telephone_number": "386-274-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Dr Carter Blvd",
            "address_purpose": "LOCATION",
            "city": "Bunnell",
            "state": "FL",
            "postal_code": "321106212",
            "country_code": "US",
            "telephone_number": "386-437-7350 x7088",
            "fax_number": "386-437-8207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRETTI",
        "first_name": "CHARLENE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9276190",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9276190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Andrew Pesner, DC
• Kishmar Petersen
• Daniel Peterson
• Linda Bebee Peterson, RN
• Vincent Glenn Peterson, D.O.
• Mikenzi Pettenger, PT, DPT
• Samantha Kate Pettigrew
• Troi Pettway
• John Phan, PHARMD
• Celeste M Philip, M.D.

• Community Health Registered Nurse in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Community Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.