MRS. LINDA ANN PETTIT (NPI# 1063593523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063593523 |
| Entity Type | Individual |
| Full Name | MRS. LINDA ANN PETTIT |
| Credential | CLINICAL NURSE SPECI |
| Practice Address |
180 E Spring Valley Rd B Centerville OH 45458-3803 |
| Mailing Address |
180 E Spring Valley Rd Ste B Centerville OH 45458-3803 |
| Practice Telephone | 9372911351 |
| Practice Fax Number | 9372911719 |
| Mailing Telephone | 9372911351 |
| Mailing Fax Number | 9372911719 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
NS03049 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255477899 | Linda Marie Sandel Pettit | Psychologist | 1445 Stewartstown Rd Ste 150, Morgantown, WV 26505-2949 | 2007-01-30 |
| 1346648573 | Linda M Pettit | Nurse Practitioner | 7300 191st St, Tinley Park, IL 60487-9361 | 2014-12-22 |
| 1396875233 | Linda J Pettit | Registered Nurse | 2500 S Havana St, Aurora, CO 80014-1618 | 2007-03-07 |
| 1508974122 | Linda E Pettit | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2006-08-25 |
| 1407886161 | Linda A Pettit | Nurse Practitioner | 886 Washington St, Norwood, MA 02062-3466 | 2006-07-05 |
| Street Address |
180 E SPRING VALLEY RD B |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45458-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013963065 | South Suburban Mental Health Group | Psychiatry & Neurology | 180 E Spring Valley Rd, Ste B, Centerville, OH 45458-3803 | 2006-05-25 |
| 1326088089 | David Ward Tilton | Social Worker | 180 E Spring Valley Rd, Ste B, Centerville, OH 45458-3803 | 2006-06-08 |
| 1932148657 | Mark A Curtis | Clinical Nurse Specialist | 180 E Spring Valley Rd, Ste B, Centerville, OH 45458-3803 | 2006-06-06 |
| 1184671224 | Cynthia Axiotes Toscano | Social Worker | 180 E Spring Valley Rd, Ste B, Centerville, OH 45458-3803 | 2006-05-27 |
| 1376599266 | Harold R Bussey | Social Worker | 180 E Spring Valley Rd, Ste B, Centerville, OH 45458-3803 | 2006-05-25 |
| 1417903238 | Stephanie I Hittle | Counselor | 180 E Spring Valley Rd, Ste B, Centerville, OH 45458-3803 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932148657 | Mark A Curtis | Clinical Nurse Specialist | 180 E Spring Valley Rd, Ste B, Centerville, OH 45458-3803 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408788 | Teri Ann Lieser | Clinical Nurse Specialist | 4974 Higbee Ave Nw Ste 209, Canton, OH 44718-2562 | 2013-07-02 |
| 1396996682 | Phyllis Jean Goldbach | Clinical Nurse Specialist | 401 Bounty Way Apt 209, Avon Lake, OH 44012-2479 | 2008-10-04 |
| 1467602276 | Christopher John Heather | Clinical Nurse Specialist | 975-a Kingsview Dr., Lebanon, OH 45036 | 2008-09-29 |
| 1417134313 | Donna R Laughlin | Clinical Nurse Specialist | 63 Baker Blvd., Akron, OH 44333-3601 | 2008-01-23 |
| 1740476548 | Grace Anastasia Herwig | Clinical Nurse Specialist | 26027 Cobblestone Way, Westlake, OH 44145-2459 | 2007-09-15 |
| 1992854756 | Angela Chesser | Clinical Nurse Specialist | 1670 Upham Dr., Columbus, OH 43210-1250 | 2007-01-10 |
| 1346310687 | Lori Sue Gozdowski | Clinical Nurse Specialist | 1425 Starr Ave., Toledo, OH 43605-1000 | 2006-11-08 |
| 1962580563 | Ellen Doreen Alaimo | Clinical Nurse Specialist | 3167 Fulton Rd, 105, Cleveland, OH 44109-1465 | 2006-11-01 |
| 1619058294 | Caryl A. Eyre | Clinical Nurse Specialist | 2612 Guilford Rd, Cleveland Heights, OH 44118-4108 | 2006-10-18 |
| 1033225404 | Susan Elizabeth Phillips | Clinical Nurse Specialist | 1260 Monroe Avenue, Suite 15h, New Philadelphia, OH 44663 | 2006-08-21 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 45458 |
Please comment or provide details below to improve the information on MRS. LINDA ANN PETTIT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.