Patrice Marie Pettitt

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

500195-01 Issued in NY

Practice address

614 Cooper Hill Rd
Wynantskill, NY 12198-2906

Phone

(518) 283-6500

Fax

(518) 283-3013

NPI assigned

Jun 3, 2026

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Jun 3, 2026.

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1831021633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 STEWART POINT RD",
            "city": "NASSAU",
            "state": "NY",
            "postal_code": "121233123",
            "telephone_number": "518-283-6500",
            "fax_number": "518-283-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 COOPER HILL RD",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121982906",
            "telephone_number": "518-283-6500",
            "fax_number": "518-283-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTITT",
        "first_name": "PATRICE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "500195-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritchie J Parrotta, D.O.
• Scott Michael Parrotta, DO
• Lisa M Passino, RPH
• Marie Teresa Patrignani, RN
• Elishama Petersen
• Forman Phillips, PH.D.
• Jillian Picarillo, DPT
• Chantal Piche
• Leah McKenzie Pike, MS CF
• Tiffany Pratt

• All providers in Wynantskill, NY
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.