RHONDA S PETTITT (NPI# 1558617381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558617381 |
Entity Type | Individual |
Full Name | RHONDA S PETTITT |
Credential | APRN |
Practice Address |
100 W Norfolk Ave Norfolk NE 68701-5340 |
Practice Telephone | 4023790122 |
Mailing Telephone | 4023790122 |
Enumeration Date | 2012-07-30 |
Last Update Date | 2016-03-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
111230 | NE | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
111230 | NE | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
100 W NORFOLK AVE |
City | NORFOLK |
State | NE |
Zip Code | 68701-5340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578124160 | Nikki Hendrickson | Social Worker | 100 W Norfolk Ave, Norfolk, NE 68701-5340 | 2019-06-24 |
1639738768 | Nikki Hendrickson | Counselor | 100 W Norfolk Ave, Norfolk, NE 68701-5340 | 2019-06-12 |
1538609359 | Tonya Voecks Behavioral Health LLC | Clinical Nurse Specialist | 100 W Norfolk Ave, Norfolk, NE 68701-5340 | 2017-02-27 |
1396104618 | Pettitt Behavioral Health, LLC | Clinical Nurse Specialist | 100 W Norfolk Ave, Norfolk, NE 68701-5340 | 2016-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
Find all providers in zip 68701 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386268142 | Integral Health & Wellness | Nurse Practitioner | 1216 Granby St, Norfolk, VA 23510-2607 | 2020-06-07 |
1124686936 | Rachel Marie Mann | Nurse Practitioner | 333 W Norfolk Ave Ste 201, Norfolk, NE 68701-5221 | 2019-06-05 |
1114486362 | Nikki Viola Houlden | Nurse Practitioner | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 | 2019-03-18 |
1780166249 | Toni P Plummer | Nurse Practitioner | 400 Gresham Dr Ste 301, Norfolk, VA 23507-1901 | 2018-08-31 |
1730692708 | Mary A Andersen | Nurse Practitioner | 333 W Norfolk Ave Ste 201, Norfolk, NE 68701-5221 | 2017-11-13 |
1003329020 | Marcella Bowen | Nurse Practitioner | 930 Redgate Ave, Norfolk, VA 23507-1518 | 2017-11-13 |
1851766646 | Janelle Rudnick | Nurse Practitioner | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 | 2015-12-06 |
1942672027 | Tonya M Voecks | Nurse Practitioner | 1500 Koenigstein Ave, Psychiatric Services Frhs, Norfolk, NE 68701-3664 | 2015-10-28 |
1093118325 | Mary Patricia Kuehler | Nurse Practitioner | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 | 2014-10-01 |
1225293806 | Mary D Kittle | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2008-07-23 |
Find all providers in NORFOLK |
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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.