MRS. JANICE PETTIGREW (NPI# 1548218035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548218035 |
| Entity Type | Individual |
| Full Name | MRS. JANICE PETTIGREW |
| Credential | ARNP |
| Practice Address |
2569 Gulf Breeze Pkwy Gulf Breeze FL 32563-3043 |
| Practice Telephone | 8509340932 |
| Practice Fax Number | 8509340737 |
| Mailing Telephone | 8509340932 |
| Mailing Fax Number | 8509340737 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2015-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP1833042 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | Y8122 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598991705 | Janice Sue Pettigrew | Psychologist | 111 Main St, Sells, AZ 85634 | 2009-06-02 |
| Street Address |
2569 GULF BREEZE PKWY |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32563-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417938739 | Anita S Westafer | Family Medicine | 2569 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3043 | 2005-11-14 |
| 1144620972 | Roselle Marie Swilley | Nurse Practitioner | 2569 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3043 | 2014-08-28 |
| 1013351295 | Renea Kathleen Clowdsley | Nurse Practitioner | 2569 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3043 | 2013-04-18 |
| 1225391857 | Michael Wray | Family Medicine | 2569 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3043 | 2012-06-19 |
| 1194090209 | Gregory L Beach | Nurse Practitioner | 2569 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2012-03-22 |
| 1306867270 | Iris D Tatom | Nurse Practitioner | 2569 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3043 | 2006-07-23 |
| 1689611766 | Marta Jacenyik | Family Medicine | 2569 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3043 | 2006-05-31 |
| 1972565091 | Anita S. Westafer, M.d., P.a. | Family Medicine | 2569 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3043 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180475 | Sacred Heart Health System, Inc. | Orthopaedic Surgery | 4033 Gulf Breeze Pkwy, Ste D, Gulf Breeze, FL 32563 | 2017-08-22 |
| 1881121457 | Jay Arnold | Dentist | 1480 Tiger Park Ln, Gulf Breeze, FL 32563 | 2017-05-15 |
| 1457506826 | Horace Lindsay Simpson | Surgery | 4435 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2008-11-26 |
| 1972795508 | Barbara Mary Ebel | Anesthesiology | 4435 Gulf Breeze Parkway, Good Samaritan Clinic, Gulf Breeze, FL 32563 | 2007-08-17 |
| 1275670374 | Karen Cann | Physical Therapist | 4657 Gulf Breeze Pkwy., Suites A & B, Gulf Breeze, FL 32563 | 2007-01-30 |
| 1356423719 | Cynthia Urmos | Chiropractor | 2870 Gulf Breeze Parkway, Gulf Breeze, FL 32563 | 2006-10-19 |
| 1538260690 | Donna Theresa Englehart | Counselor | 3463 Sycamore Lane, Gulf Breeze, FL 32563 | 2006-09-25 |
| 1932695475 | Lynette Hale | Nurse Practitioner | 3416 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-07-09 |
| 1285136937 | Jessica Roth | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-03-07 |
| 1821511544 | Samantha Monroe | Behavior Technician | 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2017-07-25 |
| Find all providers in zip 32563 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134116 | Chad Michael Barden | Nurse Practitioner | 402 Fairpoint Dr, Gulf Breeze, FL 32561-4159 | 2019-09-26 |
| 1043627433 | Carolyn Howard Ellison | Nurse Practitioner | 1342 Autumn Breeze Cir, Gulf Breeze, FL 32563-3721 | 2014-07-17 |
| 1306075411 | Leslie Rice | Nurse Practitioner | 3136 Duke Dr, Gulf Breeze, FL 32563-2783 | 2009-07-09 |
| 1205435518 | Amanda D Davis | Nurse Practitioner | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2020-10-19 |
| 1962960369 | Karlee Clark LLC | Nurse Practitioner | 3866 Bay Wind Dr, Gulf Breeze, FL 32563-2992 | 2019-03-05 |
| 1730660051 | Wayne Barrineau | Nurse Practitioner | 3406 Santa Rosa Dr, Gulf Breeze, FL 32563-5665 | 2018-08-24 |
| 1932695475 | Lynette Hale | Nurse Practitioner | 3416 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-07-09 |
| 1902276330 | Hannah Elizabeth Thomas | Nurse Practitioner | 225 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4465 | 2015-09-28 |
| 1316337124 | April Cruickshank | Nurse Practitioner | 225 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4465 | 2015-02-01 |
| 1144620972 | Roselle Marie Swilley | Nurse Practitioner | 2569 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3043 | 2014-08-28 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32563 |
Please comment or provide details below to improve the information on MRS. JANICE PETTIGREW.
| 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.