Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Johanna Christine Pettrey, FNP-BC

Family Nurse Practitioner in Portales, NM · enumerated 2005 · practices at La Casa De Buena Salud Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265413447

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Registry record

Entity type Individual (Type 1)

Name Mrs. Johanna Christine Pettrey

Credential FNP-BC

Sex Female

Practice address 1515 W Fir St, Portales, NM, 88130

Phone (575) 356-6695

Enumeration date Nov 7, 2005

Last updated in NPPES Apr 24, 2024

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R47083 (NM) Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 0001144582 (VA) Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License CNP01151 (NM) Primary

Other identifiers

Identifier	Type	State	Issuer
G7157	Medicaid	NM	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Johanna Pettrey practice?

The practice location on file with NPPES is in Portales, NM. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Johanna Pettrey?

The National Provider Identifier (NPI) for Johanna Pettrey is 1265413447, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-24.