Active NPI
Brett Elizabeth Petty, D.C.
- Chiropractor
- Saint Cloud, FL
National Provider Identifier
1861544835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8130
- Practice address
- 4797 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400 - Phone
- (407) 498-0222
- Fax
- (407) 892-0800
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8130 | FL | Primary |
| Chiropractor | 111N00000X | 10926 | TX |
Addresses
Primary practice location
4797 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400
Mailing address
4797 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400
Phone (407) 498-0222
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382281800 | Medicaid | FL | |
| 6941720 | Other | FL | CIGNA |
| 88167 | Other | FL | BLUE CROSS BLUE SHIELD |
| 653996 | Other | FL | UNITED HEALTH CARE |
Other names 1
- Dr. Brett Elizabeth Parrone
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4797 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400
Phone (407) 498-0222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10926 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Maneuvers Chiropractic Centre PA | Chiropractor | Current | Accepting new patients |
| First Care Chiropractic & Family Practice Center Inc | Chiropractor | Past | Accepting new patients |
Locations
4797 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (407) 498-0222
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Saint Cloud, FL
- NPI 1063533438
-
- Chiropractor
- Orlando, FL
- NPI 1710185632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1861544835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4797 OLD CANOE CREEK RD",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347691400",
"telephone_number": "407-498-0222",
"fax_number": "407-892-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4797 OLD CANOE CREEK RD",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347691400",
"telephone_number": "407-498-0222",
"fax_number": "407-892-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTY",
"first_name": "BRETT",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8130",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10926",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "382281800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6941720",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88167",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "653996",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRETT",
"last_name": "PARRONE",
"middle_name": "ELIZABETH",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.