Angela Ros Petruzzi

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1646 W Cook Rd
Mansfield, OH 44906-3626

Phone

(419) 612-4620

NPI assigned

Apr 13, 2022

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": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1467194076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 W COOK RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063626",
            "telephone_number": "419-612-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 W COOK RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063626",
            "telephone_number": "419-612-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUZZI",
        "first_name": "ANGELA",
        "middle_name": "ROS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Petersen, INTERN
• Kylee M. Petersen
• Mary Jane Peterson, PROVIDER
• Petersons Professional Services LLC
• Donna Petroskymiller
• Renee Petruzzi, LISW-S
• Rachel Ann Pettit
• Ellen Petulla
• Beth Pfeiffer, RPH
• Andrea Phelps

• Personal Care Attendant in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.