Patricia Lee Pelletier, RN, ANP

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

989 Issued in SC

Practice address

109 Bee St
Charleston, SC 29401-5703

Phone

(843) 789-7024

NPI assigned

Nov 1, 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

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932286739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TOWN PARK LN",
            "address_2": "APT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122516",
            "telephone_number": "843-795-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-789-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "PATRICIA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "RN, ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "SC",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daravuth Khem Pel, MD
• Christine M Pelic, MD
• Pelican Pediatrics LLC
• Regan Therese Pelicano
• Gregory Pelkey
• Jalidsa Pellicier, M.D.
• Jennifer Lee Peltier, ATC
• Stephanie A. Peluso-Abbott, MSW
• Patricia Marie Pena
• Allen E Pendarvis Jr., M.D.

• Diabetes Educator Registered Nurse in Charleston, SC
• Providers in Charleston, SC by specialty
• Diabetes Educator Registered Nurse in South Carolina

• 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.