Janet L Petrides, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

271419 Issued in CA

Practice address

408 Grace Ave
Modesto, CA 95356-1434

Phone

(209) 529-6876

NPI assigned

Dec 9, 2006

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": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851451116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 GRACE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561434",
            "telephone_number": "209-529-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 GRACE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561434",
            "telephone_number": "209-529-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIDES",
        "first_name": "JANET",
        "middle_name": "L",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "271419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Peterson, NP
• Linzy Peterson
• Renee Peterson
• Rose Ann Peterson, RN
• Natasha Isabel Petit
• Nyssa Petriz
• Cheril Nicole Petroni
• Joseph Lido Petroni II, LMFT
• Ekaterina Nikolaevna Petrova, MD
• Jonathan Matthew Pettegrew, D.O.

• Registered Nurse First Assistant in Modesto, CA
• Providers in Modesto, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.