Derrick Pettis
Derrick Pettis is a Basic Emergency Medical Technician in St Petersburg, FL, registered under NPI 1265637847. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 600 8TH AVE SE, St Petersburg, FL 33701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| B1026491 | FL | Basic Emergency Medical Technician primary |
This provider holds licence B1026491 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Emergency Medical Technician, Basic covers
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. NUCC Health Care Provider Taxonomy, code 146N00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1265637847 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 15, 2007 |
| Last updated | Jul 8, 2007 |
| Status | Active |
| Sole proprietor | Yes |
| Practice address |
600 8TH AVE SE St Petersburg, FL 33701 (727) 502-1602 Fax (727) 502-1603 |
| Mailing address |
11150 4TH ST N APT 4301 St Petersburg, FL 33716 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 6 | 5 | 6 | 3 | 7 | 8 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 3 | 5 | 3 | 3 | 5 | 8 | 8 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.