CHRISTINE PETTIT (NPI# 1932352143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932352143 |
| Entity Type | Individual |
| Full Name | CHRISTINE PETTIT |
| Credential | APRN |
| Practice Address |
45 Ashley Ave Middletown NY 10940-1912 |
| Practice Telephone | 8453268045 |
| Mailing Telephone | 8453268045 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2011-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4417 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401177 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1760596480 | 05 | |
| SC | MEDICARE PTAN | AA63393334 | 01 |
| Street Address |
45 ASHLEY AVE |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043399702 | Joanne Tortomas Brodkin White | Psychiatry & Neurology | 45 Ashley Ave, Middletown, NY 10940-1912 | 2006-11-03 |
| 1467089276 | Luico Hallman IIi | Registered Nurse | 45 Ashley Ave, Middletown, NY 10940-1912 | 2020-03-24 |
| 1891279253 | Benjamin Levine | Social Worker | 45 Ashley Ave, Middletown, NY 10940-1912 | 2018-09-21 |
| 1598293813 | Robin Green | Registered Nurse | 45 Ashley Ave, Middletown, NY 10940-1912 | 2017-05-31 |
| 1245767532 | Conrad Learned Johnson | Social Worker | 45 Ashley Ave, Middletown, NY 10940-1912 | 2017-05-17 |
| 1568894343 | Marlene Bastien | Registered Nurse | 45 Ashley Ave, Middletown, NY 10940-1912 | 2013-08-05 |
| 1376975177 | Adrienne Louise Denson | Registered Nurse | 45 Ashley Ave, Middletown, NY 10940-1912 | 2013-08-02 |
| 1316280506 | Laurel Sharp | Registered Nurse | 45 Ashley Ave, Middletown, NY 10940-1912 | 2013-04-05 |
| 1659614634 | Rockland Psychiatric Center | Psychiatric Hospital | 45 Ashley Ave, Middletown, NY 10940-1912 | 2013-03-28 |
| 1568789154 | Middletown Mental Health Clinic | Psychiatric Unit | 45 Ashley Ave, Middletown, NY 10940-1912 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| 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 |
|---|---|---|---|---|
| 1568096790 | Northpoint Psychiatric Consultants LLC | Nurse Practitioner | 363 Main St Ste 412, Middletown, CT 06457-3359 | 2020-02-26 |
| 1083146112 | Ildiko Maria Sherman | Nurse Practitioner | 307 Stanley St, Middletown, OH 45044-4859 | 2017-03-29 |
| 1437534401 | Gagne Behavioral Health Inc | Nurse Practitioner | 1717 Country Club Rd, Middletown, CT 06457-2363 | 2015-07-20 |
| 1609284827 | Debra Mayers | Nurse Practitioner | 31 Connors Rd, Middletown, NY 10941-1830 | 2014-07-31 |
| 1649410820 | Christopher Mcgirr | Nurse Practitioner | 120 Rising Trail Dr, Middletown, CT 06457-1671 | 2009-02-27 |
| 1902998263 | Sandra J. Rabis | Nurse Practitioner | 79 Mill St, Suite 101, Middletown, CT 06457-4468 | 2006-09-28 |
| 1992771315 | Wendy Levin Peterson | Nurse Practitioner | 267 William St, Middletown, CT 06457 | 2006-02-25 |
| 1720628910 | Kingsley Azeez Ayoola | Nurse Practitioner | 11 Little Cir, Middletown, DE 19709 | 2020-01-15 |
| 1124674148 | Mary Beatrice O'hara | Nurse Practitioner | 675 Main St, Middletown, CT 06457 | 2019-08-15 |
| 1265086102 | Emily Juliana Friedman | Nurse Practitioner | 1250 Silver St, Middletown, CT 06457-3946 | 2019-07-29 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on CHRISTINE PETTIT.
| 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.