Misty Ann Petredis, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

397234 Issued in OH

Practice address

6383 Redmont CT
Liberty Township, OH 45044-8665

Phone

(513) 678-7999

NPI assigned

Sep 6, 2007

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

Other identifiers 1

Other names 1

• Misty Newman Former name

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1962697664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7063 W HAMILTON PL UNIT 1315",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450693083",
            "telephone_number": "513-678-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6383 REDMONT CT",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450448665",
            "telephone_number": "513-678-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETREDIS",
        "first_name": "MISTY",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN126935",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "397234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2763764",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "NEWMAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blake Peters, M,A., CCC-SLP
• Melissa Peterson
• Petit Dermatology LLC
• Danielle Petit, M.D.
• Kristin Petit, MD
• Jennifer Louise Pettit, M. ED., LPCC
• Amy Pham
• Heather Elaine Phillips
• Podiatry of Hamilton Inc
• Podiatry of Hamilton Inc

• Registered Nurse in Liberty Township, OH
• Providers in Liberty Township, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.