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

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, ARNP

Title

Director

Phone

(850) 516-1919

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00A39",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306540500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.