DR. STEVEN LEE PETTY (NPI# 1164579132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164579132 |
| Entity Type | Individual |
| Full Name | DR. STEVEN LEE PETTY |
| Credential | D.C. |
| Practice Address |
4797 Old Canoe Creek Rd Saint Cloud FL 34769-1400 |
| Practice Telephone | 4074980222 |
| Practice Fax Number | 4078920800 |
| Mailing Telephone | 4074980222 |
| Mailing Fax Number | 4078920800 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 8007 | TX | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 5781 | AZ | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | CH8132 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 1443246 | 01 |
| FL | BLUECROSS BLUESHIELD OF FLORIDA | 22365 | 01 |
| FL | ACN GROUP | 717570 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326464819 | Steven Petty | Counselor | 126 Mckee Rd, Harvest, AL 35749-9563 | 2014-03-09 |
| Street Address |
4797 OLD CANOE CREEK RD |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063533438 | Joint Maneuvers Chiropractic Centre Pa | Chiropractor | 4797 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | 2007-04-03 |
| 1861544835 | Brett Elizabeth Petty | Chiropractor | 4797 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548709777 | Brittany Leopardi | Chiropractor | 3131 Garden Ct, Saint Cloud, FL 34769-6304 | 2017-02-21 |
| 1861931099 | Avenue One Chiropractic LLC | Chiropractor | 1933 S Narcoossee Rd, Saint Cloud, FL 34771-7211 | 2017-02-21 |
| 1518323088 | Gabriel Marti- Santos | Chiropractor | 2013 Live Oak Blvd Ste D, Saint Cloud, FL 34771-8410 | 2016-01-13 |
| 1649636283 | Krista Ann Blomdahl | Chiropractor | 203 Park Ave S Ste 101, Saint Cloud, MN 56301-6146 | 2016-01-12 |
| 1356683114 | Eric Michael Oltmanns | Chiropractor | 251 County Road 120 Ste B, Saint Cloud, MN 56303-4886 | 2013-03-20 |
| 1841561537 | Winters Family Chiropractic, Pa | Chiropractor | 4170 Thielman Ln Ste 104, Saint Cloud, MN 56301-3896 | 2012-01-26 |
| 1073753521 | Daniel Mark Kay | Chiropractor | 4503 Neptune Rd, Saint Cloud, FL 34769-6748 | 2009-02-24 |
| 1396990891 | Erika Leigh Yancey | Chiropractor | 44 28th Ave N, Suite H, Saint Cloud, MN 56303-4588 | 2008-11-25 |
| 1760642524 | Christopher Mcnichols | Chiropractor | 4028 13th St, Saint Cloud, FL 34769-6773 | 2008-06-14 |
| 1063686806 | Michael Svend Hanson | Chiropractor | 203 Cooper Ave N, Suite 160, Saint Cloud, MN 56303-4446 | 2008-04-14 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
Please comment or provide details below to improve the information on DR. STEVEN LEE PETTY.
| 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.