DEBBIE PETTIBONE (NPI# 1548691306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548691306 |
| Entity Type | Individual |
| Full Name | DEBBIE PETTIBONE |
| Credential | LPN |
| Practice Address |
12563 New Brittany Blvd Bldg 24 Fort Myers FL 33907-3625 |
| Practice Telephone | 2394816138 |
| Practice Fax Number | 2394812547 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5189384 | FL | Nursing Service Providers |
| Street Address |
12563 NEW BRITTANY BLVD BLDG 24 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922470558 | Taira Dilallo | Licensed Practical Nurse | 3820 Colonial Blvd Ste 102, Fort Myers, FL 33966-1094 | 2015-10-22 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1326684093 | Susan J Hunter | Licensed Practical Nurse | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2019-11-18 |
| 1174084602 | Danielle Cimeo | Licensed Practical Nurse | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2019-03-27 |
| 1083140149 | Sabrina Holman | Licensed Practical Nurse | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2017-05-11 |
| 1053862540 | Jamie Davidson | Licensed Practical Nurse | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2016-10-19 |
| 1386194587 | Brittany Dennis | Licensed Practical Nurse | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2016-10-12 |
| 1306208871 | Brenda Gooding | Licensed Practical Nurse | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2016-03-24 |
| 1700241619 | Virginia Kaaber | Licensed Practical Nurse | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2015-12-18 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on DEBBIE PETTIBONE.
| 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.