Sherrill Diane Petherbridge, FNP

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

NP11649 Issued in CA

Practice address

736 W Jasmine Cir
Santa Rosa, CA 95407-6778

Phone

(707) 431-6387

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1790946085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W. JASMINE CIRCLE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076778",
            "telephone_number": "707-431-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 W JASMINE CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076778",
            "telephone_number": "707-431-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETHERBRIDGE",
        "first_name": "SHERRILL",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "CA",
            "license": "NP11649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Peterson, DR.
• Jan Louise Peterson, PT
• Jill Peterson
• Kimberly Peterson, MA, MFTI
• Scott Paul Peterson, M.D.
• Parker William Petray
• Maria M. Petrick, M.D.
• Katherine Pettibone, DPM
• Jill Pettit, CCC-SLP
• Alice D Petty-Hannum, MFT

• Occupational Health Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Occupational Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.