IndividualActive
Derrick Pettis
NPI 1265637847 · Basic Emergency Medical Technician · St Petersburg, FL
Provider details
- NPI number
- 1265637847
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- B1026491 (FL)
Specialties & taxonomies
Emergency Medical Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 8th Ave Se
St Petersburg, FL 33701-5030
Phone: (727) 502-1602
Fax: (727) 502-1603
Street-level locationGet directions
Mailing address
11150 4th St N Apt 4301
St Petersburg, FL 33716-2909
Registry dates
- Enumerated
- 2007-06-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.