Trishae E Petty

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

1421 14TH St S
St Petersburg, FL 33705-2411

Phone

(727) 400-8504

NPI assigned

Feb 11, 2025

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

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1962217513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 25TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337053108",
            "telephone_number": "727-400-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 14TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337052411",
            "telephone_number": "727-400-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "TRISHAE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Jay Petry II, LMHC
• Kiesha E Pettine
• Derrick Dejuan Pettis
• Quanesha Pettis
• Presley Ann Pettit
• Dennis Joseph Pevarski, M.D.
• Katelyn Peworchik, ARNP
• Pezzella Family Dentistry LLC
• Salvatore Robert Pezzella, D.M.D
• Julia A Pfaff, D.O.

• Phlebotomy Technician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.