Active NPI
Linda A Pettit, NP
- Nurse Practitioner
- Norwood, MA
National Provider Identifier
1407886161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 93175
- Practice address
- 886 Washington St
Norwood, MA 02062-3466 - Phone
- (781) 551-3539
- Fax
- (781) 255-9994
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 93175 | MA | Primary |
Addresses
Primary practice location
886 Washington St
Norwood, MA 02062-3466
Mailing address
Provider Enrollment-77 Warren Street
Brighton, MA 02135
Phone (617) 562-5359
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93175 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caritas Medical Group, Inc. | Past | Accepting new patients | |
| Steward Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Brighton, MA
- NPI 1174513204
-
- Specialist
- Brighton, MA
- NPI 1356654495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407886161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PROVIDER ENROLLMENT-77 WARREN STREET",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "02135",
"telephone_number": "617-562-5359",
"fax_number": "617-562-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 WASHINGTON ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623466",
"telephone_number": "781-551-3539",
"fax_number": "781-255-9994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIT",
"first_name": "LINDA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "93175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.