TRISHA MARY PETITTE (NPI# 1356629802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356629802 |
| Entity Type | Individual |
| Full Name | TRISHA MARY PETITTE |
| Credential | NP |
| Practice Address |
104 Front Street Mount Morris PA 15349 |
| Mailing Address |
Po Box 9190 Morgantown WV 26506-9190 |
| Practice Telephone | 7243249001 |
| Mailing Telephone | 3042931084 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP011429 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
104 FRONT STREET |
| City | MOUNT MORRIS |
| State | PA |
| Zip Code | 15349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437277373 | Primary Care Center of Mt Morris | Nurse Practitioner | 104 Front Street, Suite 102, Mount Morris, PA 15349-0495 | 2007-03-27 |
| 1134440159 | Cornerstone Care, Inc. | Clinic/Center | 104 Front Street, Van # 1, Mount Morris, PA 15349-0495 | 2010-06-14 |
| 1649412941 | Primary Care Center of Mount Morris | Nurse Practitioner | 104 Front Street, Suite Van 1, Mount Morris, PA 15349-0495 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194029819 | Cornerstone Care Inc. | Clinic/Center | 120 Locust Avenue Extension, Mount Morris, PA 15349 | 2011-01-10 |
| 1376674218 | R. Gregory Montgomery | Dentist | 120 Locust Avenue Extention, Mount Morris, PA 15349 | 2007-03-09 |
| 1720145428 | Bonnie L Popso | Social Worker | 105 Front Street, Mt Morris, PA 15349 | 2007-01-02 |
| 1972575454 | Norihito Onishi | Family Medicine | 186 Locust Ave, Mt Morris, PA 15349 | 2006-02-07 |
| 1073509147 | Mount Morris Ems | Ambulance | Main St, American Legion Hall, Mt Morris, PA 15349 | 2005-09-23 |
| 1457634099 | Jessica Ann-marie Holbrook | Physician Assistant | 120 Locust Ave Ext, Mt. Morris, PA 15349 | 2011-09-20 |
| 1619288032 | Melany D Chrash | Nurse Practitioner | 104 Front St., Mt. Morris, PA 15349-0495 | 2010-06-30 |
| 1225444532 | Mount Morris Pharmacy | Pharmacy | 120 Locust Ave Ext Ste 2, Mt Morris, PA 15349-1355 | 2014-07-08 |
| 1093034258 | Amber Renee Warren | Family Medicine | 120 Locust Ave Ext, Mt Morris, PA 15349-1355 | 2010-05-26 |
| 1831710185 | Nyeemah Kennedy | Student in an Organized Health Care Education/Training Program | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2020-04-28 |
| Find all providers in zip 15349 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649412941 | Primary Care Center of Mount Morris | Nurse Practitioner | 104 Front Street, Suite Van 1, Mount Morris, PA 15349-0495 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072641 | Pinnacle Health Medical Services | Nurse Practitioner | 250 Fame Ave Ste 201, Hanover, PA 17331-1587 | 2020-10-28 |
| 1265044093 | Michelle Lynn Hurst | Nurse Practitioner | 1590 Medical Dr Ste A, Pottstown, PA 19464-3247 | 2020-08-21 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1437768413 | Stephanie Marie Lesseski | Nurse Practitioner | 2014 Creekside Dr, Edinboro, PA 16412-1458 | 2020-07-27 |
| 1588272959 | Elaine Michele Matisko | Nurse Practitioner | 56 Dorthea Street Ext, Houtzdale, PA 16651-8607 | 2020-07-21 |
| 1275155012 | Jamie Lee Auyeung | Nurse Practitioner | 2413 Lytle Rd, Bethel Park, PA 15102-2790 | 2020-05-14 |
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
| 1477100311 | Larissa Marie Glowinski | Nurse Practitioner | 502 Vna Rd, East Stroudsburg, PA 18301-7965 | 2019-08-26 |
| 1295382232 | Marthe Adler | Nurse Practitioner | 300b Lawrence Dr, West Chester, PA 19380-4289 | 2019-08-23 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT MORRIS |
| Zip Code | 15349 |
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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.