Tyler Pettigrew

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2127 Willow St
New Orleans, LA 70113-2923

Phone

(504) 405-0694

NPI assigned

Apr 27, 2017

Last updated

Apr 7, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1427583475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 WILLOW ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132923",
            "telephone_number": "504-405-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 WILLOW ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132923",
            "telephone_number": "504-405-0694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Plantation Rd.",
            "address_2": "Apt #24",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "70301",
            "country_code": "US",
            "telephone_number": "504-405-0694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIGREW",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando Petrie
• Danielle E Petroni, LCSW-BACS
• Lauren Elizabeth Petry
• Thomas Petterson, MT-BC
• Brian L Pettiford, MD
• Timothy William Pettitt, MD
• Cynthia L Pettus, M.ED., PLPC, NCC
• Camille Petty
• Petvet DX Lab Services LLC
• George Peyton

• Case Manager/Care Coordinator in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.