Tiffany Dawn Pettway, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

313941-1 Issued in NY

Practice address

98 Maplewood Dr
Westbury, NY 11590-2625

Phone

(516) 729-3664

NPI assigned

Apr 1, 2013

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1841533593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MAPLEWOOD DRIVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590",
            "telephone_number": "516-729-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MAPLEWOOD DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902625",
            "telephone_number": "516-729-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTWAY",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "313941-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia A Perrone, RN
• Svetlana Petelis, RPH
• Janice J Peter
• Leslie Peters Browne
• Michele Petrone, MHC-LP
• Martine Philantrope
• Andrewlyn Philbert-Adams
• Aby Philip
• Priscilla Phrsai
• Physician Health Care PC

• Licensed Practical Nurse in Westbury, NY
• Providers in Westbury, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.