Jasmine Petties

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

SL878494 Issued in OH

Practice address

845 44TH St NW Apt D
Canton, OH 44709-1648

Phone

(330) 244-7673

NPI assigned

Jul 17, 2025

Last updated

Jul 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1013809615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 44TH ST NW APT D",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091648",
            "telephone_number": "330-244-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 44TH ST NW APT D",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091648",
            "telephone_number": "330-244-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIES",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "SL878494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tianna Ty'Sha Peterson
• Michael Petrides, DDS
• Pete Angelo Petrides, DDS, MPH
• Amie Marie Petrik
• Kristen Marie Petrilla, LCDC III, OCPS II
• Elizabeth Pfalzgraf
• Emily Pfefferl, LPC
• Taylor Pfister
• Richard Pham, M.D.
• June L. Phelps, PH.D.

• Non-emergency Medical Transport (VAN) in Canton, OH
• Providers in Canton, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.