Petrie Geriatric Healthcare Inc

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP1222292 Issued in FL

Legal business name

PETRIE GERIATRIC HEALTHCARE INC

Practice address

1286 Fernando Cir
Cantonment, FL 32533-5737

Phone

(850) 516-1919

NPI assigned

Apr 28, 2009

Last updated

Apr 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Claire A Petrie, ARNPNPI 1053591065

Title

Director

Phone

(850) 516-1919

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claire A Petrie, ARNP

  • Gerontology Nurse Practitioner
  • Pensacola, FL
  • NPI 1053591065
  Authorized official Same address or phone

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1770727232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 37277",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32526",
            "telephone_number": "850-623-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 FERNANDO CIR",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325335737",
            "telephone_number": "850-516-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRIE GERIATRIC HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-516-1919",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP1222292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Parker, RBT
• Patricia Wilson Home Health LLC
• Sarah Marie Payne
• Pensacola Primary Care Inc (West Florida Primary Care - Kingsfield)
• Shawnon Peterson
• Aleces Phillips
• Joshlynne McKenzie Pilkington
• Caitlin Pinkleton
• Anthony Ryan Pinto, MS, PHARMD
• Maeson Ebone Beonca Piper

• Gerontology Nurse Practitioner in Cantonment, FL
• Providers in Cantonment, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.