TENISHA PETTUS (NPI# 1376175026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376175026 |
| Entity Type | Individual |
| Full Name | TENISHA PETTUS |
| Practice Address |
417 Commercial Ct Ste C Sarasota FL 34292 |
| Practice Telephone | 7863006778 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
417 COMMERCIAL CT STE C |
| City | SARASOTA |
| State | FL |
| Zip Code | 34292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194352062 | Rashida Gordon | Counselor | 417 Commercial Ct Ste C, Sarasota, FL 34292 | 2020-03-23 |
| 1841824299 | Eric Johnson | Counselor | 417 Commercial Ct Ste C, Sarasota, FL 34292 | 2020-02-25 |
| 1205469962 | Sassia Hochberg | Counselor | 417 Commercial Ct Ste C, Sarasota, FL 34292 | 2020-02-20 |
| 1528691938 | Mary Beth Ridderman | Counselor | 417 Commercial Ct Ste C, Sarasota, FL 34292 | 2020-02-14 |
| 1417589078 | Mary Cox | Counselor | 417 Commercial Ct Ste C, Sarasota, FL 34292 | 2020-02-11 |
| 1962034538 | Gracieuse K Gibbons | Counselor | 417 Commercial Ct Ste C, Sarasota, FL 34292 | 2020-02-11 |
| 1134751258 | Georgia Ingram | Counselor | 417 Commercial Ct Ste C, Sarasota, FL 34292-1655 | 2020-02-06 |
| 1346872496 | Jasmine Greene | Counselor | 417 Commercial Ct Ste C, Sarasota, FL 34292 | 2020-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| 1265512974 | Qinghong Han | Acupuncturist | 389 Commercial Court, Suite B, Venice, FL 34292 | 2006-10-17 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836008 | Kerry Linden | Counselor | 3615 Huntington Place Dr, Sarasota, FL 34237-3980 | 2020-09-16 |
| 1891309621 | Brian Squitieri | Counselor | 1453 S School Ave, Sarasota, FL 34239-2430 | 2020-08-31 |
| 1639797814 | Laura K Cunningham | Counselor | 7248 Beneva Rd, Sarasota, FL 34238-2806 | 2020-07-14 |
| 1447877261 | Ptsd Trauma Therapy | Counselor | 400 Madison Dr Ste 221, Sarasota, FL 34236-1410 | 2020-06-26 |
| 1225650021 | Kelly Anne Bell | Counselor | 1076 Longfellow Cir, Sarasota, FL 34243-1269 | 2020-05-14 |
| 1245852136 | Deidre Jones | Counselor | 419 Parkland Ave, Sarasota, FL 34232-1558 | 2020-05-13 |
| 1003449802 | Kent Ryan Kelley | Counselor | 306 Island Cir, Sarasota, FL 34242-1938 | 2020-02-20 |
| 1093347288 | Rebecca Mary Leader | Counselor | 1750 Alta Vista St, Sarasota, FL 34236-8404 | 2020-02-06 |
| 1063043800 | Mark S. Macko | Counselor | 4786 Hamlets Grove Dr, Sarasota, FL 34235-2278 | 2020-01-30 |
| 1407496052 | Jocelyn Patterson | Counselor | 5713 Blount Ave, Sarasota, FL 34231-8305 | 2020-01-12 |
| Find all providers in SARASOTA | ||||
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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.