Lisa Jo Pettinelli, RRT, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

591340 Issued in CA

Practice address

3450 Wilshire Blvd
Suite 840
Los Angeles, CA 90010-2208

Phone

(310) 717-9048

NPI assigned

Apr 9, 2008

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

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Osa Solutions

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
  • NPI 1871752766
  NPD (past) Authorized official

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1720251820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6362 COLGATE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484407",
            "telephone_number": "310-717-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 WILSHIRE BLVD",
            "address_2": "SUITE 840",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102208",
            "telephone_number": "310-717-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTINELLI",
        "first_name": "LISA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "RRT, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "591340",
            "primary": true
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "CA",
            "license": "00011141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moritz Sebastian Pettenkofer, MD
• Regina Petterson, PSY.D.
• Andrea Marie Pettett, ACSW
• Gayane Elizabeth Pettibone
• Angela Pettinelli
• Alexander Pettis, PTA
• Jerell Akeem Pettway
• Kristofer Kedar Pettway
• Tyree Pettway
• Jasmine Petty-Davidson

• Home Health Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.