Angela Marie Pettway, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

0001204649 Issued in VA

Practice address

700 24TH St
Fort Lee, VA 23801-1716

Phone

(804) 734-9125

Fax

(804) 734-9011

NPI assigned

Sep 18, 2008

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1891944435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9125",
            "fax_number": "804-734-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9125",
            "fax_number": "804-734-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTWAY",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "VA",
            "license": "0001204649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Parchesky
• Kim Louise Parks, FNP-BC
• Gayle Connelly Paul, R.PH.
• Kathleen Pendergrass, PSY.D.
• Matthew Robert Petrone, P.T., D.P.T
• Ralph Pierce, PHYSICIAN ASSISTANT
• Linda Louise Pierson, PHD
• Stephen James Pinkerton, PA
• Laura S Pond, LCSW
• Jancy G Pottanat, MD

• Ambulatory Care Registered Nurse in Fort Lee, VA
• Providers in Fort Lee, VA by specialty
• Ambulatory Care Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.