KIRK PETRIE (NPI# 1093339459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093339459 |
Entity Type | Individual |
Full Name | KIRK PETRIE |
Credential | RRT |
Practice Address |
808 Wiggington Rd Ste E Lynchburg VA 24502-5155 |
Practice Telephone | 4343854001 |
Practice Fax Number | 4343851003 |
Mailing Telephone | 4343854001 |
Mailing Fax Number | 4343851003 |
Enumeration Date | 2020-06-02 |
Last Update Date | 2020-06-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 227900000X | Respiratory Therapist, Registered | 0117003639 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2279H0200X |
Respiratory Therapist, Registered Specialization: Home Health |
0117003639 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2279P3900X |
Respiratory Therapist, Registered Specialization: Neonatal/Pediatrics |
0117003639 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
808 WIGGINGTON RD STE E |
City | LYNCHBURG |
State | VA |
Zip Code | 24502-5155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
Find all providers in zip 24502 |
Taxonomy Code | 2279P3900X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Respiratory Therapist, Registered |
Specialization | Neonatal/Pediatrics |
The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700407509 | George Clifton Axtell II | Respiratory Therapist, Registered | 12302 Roaringbrook Ct, Richmond, VA 23233-2106 | 2020-05-03 |
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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.