Active NPI
Erika Lynn Petronaci, ARNP
- Nurse Practitioner
- Clermont, FL
National Provider Identifier
1912192444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9233116
- Practice address
- 1120 Citrus Tower Blvd
Suite 330
Clermont, FL 34711-1909 - Phone
- (352) 241-4298
- Fax
- (352) 241-7620
- NPI assigned
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9233116 | FL | Primary |
Addresses
Primary practice location
1120 Citrus Tower Blvd
Suite 330
Clermont, FL 34711-1909
Mailing address
2600 Lake Lucien Dr
Suite 180
Maitland, FL 32751-7233
Phone (407) 875-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9233116 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1912192444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 LAKE LUCIEN DR",
"address_2": "SUITE 180",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517233",
"telephone_number": "407-875-2080",
"fax_number": "407-875-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 CITRUS TOWER BLVD",
"address_2": "SUITE 330",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111909",
"telephone_number": "352-241-4298",
"fax_number": "352-241-7620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRONACI",
"first_name": "ERIKA",
"middle_name": "LYNN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9233116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.