Kailee Anne Winkle Petrosky

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

8034 Issued in MN

Practice address

1165 Arcade St
Saint Paul, MN 55106-2615

Phone

(651) 772-5555

NPI assigned

Feb 4, 2021

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

State licenses

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1821680554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062615",
            "telephone_number": "651-772-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062615",
            "telephone_number": "651-772-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKY",
        "first_name": "KAILEE",
        "middle_name": "ANNE WINKLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "MN",
            "license": "2469759",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "8034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven R Peterson, PT
• Tanner Peterson
• Vacharee Sriswad Peterson
• Melissa Joy Petrangelo, RN
• Chase Eugene Petron, DC
• Teresa Petruccelli
• Laura K Petry, CPNP
• Carrie Leigh Pettey, MD
• Robin Diane Pettit, RN,PHN
• Anthony J Pfaff, MD

• Pediatric Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.