Active NPI
Talisha Pettiford
- Registered Nurse
- Chillicothe, OH
National Provider Identifier
1821567702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.456834
- Practice address
- 4449 Oh-159
Chillicothe, OH 45601-4560 - Phone
- (740) 775-1260
- NPI assigned
- Nov 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.456834 | OH | Primary |
Addresses
Primary practice location
4449 Oh-159
Chillicothe, OH 45601-4560
Mailing address
164 Villa Dr
Circleville, OH 43113-1071
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.456834 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1821567702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 VILLA DR",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431131071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4449 OH-159",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456014560",
"telephone_number": "740-775-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIFORD",
"first_name": "TALISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2023-11-17",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.456834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.