KATHLEEN D. PETTIT (NPI# 1063602233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063602233 |
| Entity Type | Individual |
| Full Name | KATHLEEN D. PETTIT |
| Credential | RN |
| Practice Address |
7040 Lake Ellenor Dr Orlando FL 32809-5750 |
| Practice Telephone | 4078566519 |
| Practice Fax Number | 4078566594 |
| Mailing Telephone | 4078566519 |
| Mailing Fax Number | 4078566594 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN2523362 | FL | Nursing Service Providers |
| Street Address |
7040 LAKE ELLENOR DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32809-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184701062 | Danielle A Masuda | Social Worker | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2006-10-31 |
| 1639554579 | Heather Houston | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2015-07-21 |
| 1912323213 | Shelley Noelle Ammerman | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2014-03-11 |
| 1902156649 | Lisa Soloven | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2012-09-10 |
| 1811242829 | Tammy Ssesanga | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2012-07-16 |
| 1881959625 | Lisa Vacchio | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2012-07-09 |
| 1275897803 | Jeanee Shrader | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2012-06-28 |
| 1730456443 | Anita Smith | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2011-11-23 |
| 1730463100 | Ashlee Clark | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2011-10-04 |
| 1447543590 | Daniela Saborio | Social Worker | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634765 | Junie Jean-philippe | Chiropractor | 7130 S Orange Blossom Trail Suite 148, Orlando, FL 32809 | 2020-03-12 |
| 1073030276 | Amanda Wiegert | Counselor | 6000 Lake Ellenor Drive, Orlando, FL 32809 | 2017-08-28 |
| 1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1306203872 | Greidis Villalobos | Counselor | 5957 Estella Way, Orlando, FL 32809 | 2016-01-28 |
| 1891113809 | Orville Mario Morgan | Genetic Counselor, MS | 1220 Evangeline Ave., Orlando, FL 32809 | 2014-04-07 |
| 1669727699 | Hispanic Family Counseling Inc | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809 | 2012-07-16 |
| 1548529118 | Laurie Lowe Forbes | Pharmacist | 530 Sunport Lane, Orlando, FL 32809 | 2012-05-16 |
| 1972886307 | Viet H Nguyen | Pharmacist | 7003 Presidents Drive Suite 250, Orlando, FL 32809 | 2011-09-22 |
| 1497042774 | Calren S Wang | Physical Therapy Assistant | 1718 Colleen Dr, Belle Isle, FL 32809 | 2011-07-07 |
| Find all providers in zip 32809 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144529033 | Sally T Ayala | Registered Nurse | 3045 Golden Rock Dr, Orlando, FL 32818-3313 | 2011-03-18 |
| 1003351578 | Doretha Rouse | Registered Nurse | 7912 Forest City Rd, Orlando, FL 32810-2907 | 2016-12-19 |
| 1902156649 | Lisa Soloven | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2012-09-10 |
| 1275897803 | Jeanee Shrader | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2012-06-28 |
| 1043522626 | Daphne Lynne Dexter | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2010-07-12 |
| 1023348695 | Megan L Jimison | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2010-01-05 |
| 1104155589 | Leslie April Logrono | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2009-12-15 |
| 1346575230 | Daynette Elizabeth Perez | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2009-10-09 |
| 1902032634 | Nicole Marie Chreist-jonas | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2009-06-09 |
| 1790928968 | Rosemary G Austin | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2009-04-17 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.