Rachel Peticca, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11038387 Issued in FL

Practice address

1400 SE 2ND St
Fort Lauderdale, FL 33301-3967

Phone

(305) 923-6501

NPI assigned

Apr 18, 2025

Sex

Female

Sole proprietor

No

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": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1912793647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SE 2ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013967",
            "telephone_number": "305-923-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE 2ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013967",
            "telephone_number": "305-923-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETICCA",
        "first_name": "RACHEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11038387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda S Segal Peters, MSN, ARNP
• Kenneth Peters, BSW
• Laura D Peters, RD, CDE
• William A Petersen, M.D.
• Mary S Peterson, ARNP
• James Joseph Petillo, M.D.
• Shelene Petit Frere, RBT
• Brenda Petit
• Robin C Petit, MSN, ARNP
• Vanessa S Petit, APRN

• Psychiatric/Mental Health Nurse Practitioner in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.