EDNA PETITHOMME APRN
NPI 1871090746
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Active since April 09, 2018
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-1111 Get Directions Write a Review

NPPES record last updated: September 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2020, Jan 11, 2020, Apr 9, 2018 (3 updates tracked since 2018).

About Edna Petithomme Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDNA PETITHOMME APRN (NPI 1871090746) is an individual psychiatric/mental health provider in Miami, Florida, licensed in Florida (APRN9322132) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1871090746
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEDNA PETITHOMMECredential: APRN
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1611 Nw 12th AveMiami, FL 33136-1005 · (305) 585-1111
Sole ProprietorYes
Enumeration DateApril 9, 2018
Last NPPES UpdateSeptember 20, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2020
NPI 1871090746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · APRN9322132
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN9322132 (FL)
1611 NW 12TH AVE, Miami, FL 33136

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edna Petithomme's NPI number?

The NPI number for Edna Petithomme is 1871090746. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Edna Petithomme located?

Edna Petithomme practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-1111.

What is Edna Petithomme's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Edna Petithomme was last updated on September 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.