Active NPI
Paige S Pettit, R.N.
- Registered Nurse
- Ripley, TN
National Provider Identifier
1386825321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 158257
- Practice address
- 500 Highway 51 S
Lauderdale County Health Department
Ripley, TN 38063-4583 - Phone
- (731) 635-4661
- NPI assigned
- Nov 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 158257 | TN | Primary |
Addresses
Primary practice location
500 Highway 51 S
Lauderdale County Health Department
Ripley, TN 38063-4583
Mailing address
500 Highway 51 S
Lauderdale County Health Department
Ripley, TN 38063-4583
Phone (731) 635-4661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158257 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1386825321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HIGHWAY 51 S",
"address_2": "LAUDERDALE COUNTY HEALTH DEPARTMENT",
"city": "RIPLEY",
"state": "TN",
"postal_code": "380634583",
"telephone_number": "731-635-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HIGHWAY 51 S",
"address_2": "LAUDERDALE COUNTY HEALTH DEPARTMENT",
"city": "RIPLEY",
"state": "TN",
"postal_code": "380634583",
"telephone_number": "731-635-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIT",
"first_name": "PAIGE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "158257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ripley, TN
- Damien Eric Nethery, LCSW
- Northwest Tennessee Foot Clinic, PLLC
- J W Nunn
- Melissa Olds Ozment, RN
- Thomas Ross Patterson, DDS
- Kevin Wayne Pridmore, P.T.
- Professional Care Services of West TN Inc
- Professional Care Services of West TN Inc (WM F Walker Counseling Center)
- Jessica Revelle Rains, PHYSICIAN ASSISTANT
- Reese Private Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.