Jodi Petchauer, WHNP

Primary specialty

Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X

License

3033212 Issued in FL

Practice address

8075 Gate Pkwy W
Suite 305
Jacksonville, FL 32216-3684

Phone

(904) 296-2992

Fax

(904) 296-2993

NPI assigned

Feb 16, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michelle McLanahan, M.D., P.a.

  • Specialist
  • Jacksonville, FL
  • NPI 1225226038
  NPD (past)
• St Vincents Ambulatory Care Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1417987124
  NPD (past)

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234742400000",
    "number": "1932348976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 GATE PKWY W",
            "address_2": "SUITE 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163684",
            "telephone_number": "904-296-2992",
            "fax_number": "904-296-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 GATE PKWY W",
            "address_2": "SUITE 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163684",
            "telephone_number": "904-296-2992",
            "fax_number": "904-296-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETCHAUER",
        "first_name": "JODI",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "FL",
            "license": "3033212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3033212  FL",
            "identifier": "3033212",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Person Centered Services
• Personal Development Therapy LLC
• Personal Touch Non-Medical Home Care, Inc.
• Perspectives Anew Therapy LLC
• Joseph Pesek III, M.D.
• Peter a. Nassar, M.D., P.a.
• Peter L Kovacs MD PA
• Kaley Peterman, MS, CCC-SLP
• Bryce Peters, ATC, LAT
• Chloe Marlies Peters, LCSW

• Ambulatory Women's Health Care Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Ambulatory Women's Health Care Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.