Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Kaye Petitt, FNP

Individual provider Family Nurse Practitioner · NPI 1104087295

Elizabeth Kaye Petitt, FNP is a Nurse Practitioner in Pasadena, Texas. Qualified in 2008, 18 years ago. Practices with Southeast Dermatology, PA, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4419 Crenshaw Rd
Pasadena, TX 77504-3628
Phone: (281) 991-5944
Fax: (281) 991-6129
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11914 Astoria Blvd Ste 570, Houston, TX 77089-6079 — (281) 481-0033

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP116816 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 618556 (TX)

Record details

NPI number1104087295
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 20, 2008
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Southeast Dermatology, P.A. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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