Active NPI
Linda J Pettit
- Registered Nurse
- Aurora, CO
National Provider Identifier
1396875233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 179474
- Practice address
- 2500 S Havana St
Aurora, CO 80014-1618 - Phone
- (303) 743-5855
- NPI assigned
- Mar 7, 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 | 179474 | CO | Primary |
Addresses
Primary practice location
2500 S Havana St
Aurora, CO 80014-1618
Mailing address
2500 S Havana St
Aurora, CO 80014-1618
Phone (303) 916-4702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015764 | Other | KAISER-COMMERCIAL NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179474 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1396875233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 S HAVANA ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800141618",
"telephone_number": "303-916-4702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S HAVANA ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800141618",
"telephone_number": "303-743-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIT",
"first_name": "LINDA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "179474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-COMMERCIAL NUMBER",
"identifier": "015764",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.