Desiree Pettway, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.180202.MEDS.IV Issued in OH

Practice address

2061 23Rd St
Cuyahoga Falls, OH 44223-1405

Phone

(216) 600-3090

NPI assigned

Feb 16, 2024

Last updated

Feb 16, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1790540995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 23RD ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231405",
            "telephone_number": "216-600-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 23RD ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231405",
            "telephone_number": "216-600-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTWAY",
        "first_name": "DESIREE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.180202.MEDS.IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Paige Perkey, AGNP-C
• Justyn Edward Perkinson, LMT
• Brigid Elizabeth Perry, PHARMD
• Heather Perry
• Suzanne Petrof, LMT
• Samantha Phillips, LSW
• Physio Orthopedics and Performance LLC
• Mary E Pickton, LPCC
• Pink Mobile Services
• Pinnacle Chiropractic Health & Wellness Center LLC (Pinnacle Chiropractic)

• Licensed Practical Nurse in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.