DESIRAE PETTIT


Address: 33 Beach Ave, Terryville, CT 06786-6317
Phone: 2035924593

DESIRAE PETTIT (NPI# 1124649157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124649157
Entity Type Individual
Full Name DESIRAE PETTIT
Practice Address 33 Beach Ave
Terryville
CT 06786-6317
Practice Telephone 2035924593
Enumeration Date 2020-04-30
Last Update Date 2020-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 376K00000X Nurse's Aide NA91285300 CT Nursing Service Related Providers

Office Location

Street Address 33 BEACH AVE
City TERRYVILLE
State CT
Zip Code 06786-6317

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467797035 Lena Nenninger Physical Therapy Assistant 12 Prospect St Ext, Terryville, CT 06786 2012-12-07
1063509792 David Julius Szymanski Dentist 195 Main St, Terryville, CT 06786 2006-10-06
1568567311 Connecticut Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 311 Main St Village Plz, Terryville, CT 06786 2006-09-14
1013196385 Robert Harold Pavalock Dentist 138 Main St, Terryville, CT 06786 2007-11-02
1558491415 John C Latvis Jr. Dentist 14 Maple St, Terryville, CT 06786 2007-03-07
1508916602 Christopher J Latvis Dentist 14 Maple St, Terryville, CT 06786 2007-01-11
1285791244 Robert B Cavoli Dentist 65 Main Street, Terryville, CT 06786 2007-01-02
1730251505 Szy Inc Dentist 195 Main St, David J Szymanski Dds, Terryville, CT 06786 2006-11-15
1194333823 Brian Joseph Lussier Psychologist 15 Preston Rd, Terryville, CT 06786-4209 2020-07-20
1356686133 Corinne P Lovejoy Counselor 4 Holt St, Terryville, CT 06786-4626 2012-12-04
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Taxonomy Information

Taxonomy Code 376K00000X
Grouping Nursing Service Related Providers
Classification Nurse's Aide

Taxonomy Definition

(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003428632 Shirley Marie Perry Nurse's Aide 131 Park St, Manchester, CT 06040-5925 2020-08-17
1568086726 Doris Siawor Nurse's Aide 81 Santangelo Cir, Middletown, CT 06457-4044 2020-06-03
1861027716 Sally Ann Zavaglia Nurse's Aide 122 Shore Rd, Clinton, CT 06413-2340 2020-03-10
1063976520 The Angels Homecare LLC Nurse's Aide 919 Stratford Ave Ste 2, Stratford, CT 06615-6352 2019-01-29
1306299045 Linda Vienna Watson Nurse's Aide 13 Rogers Dr, Litchfield, CT 06759-3621 2016-07-18
1043666555 Tausha Sheffield Nurse's Aide 1027 Hancock Ave, 3, Bridgeport, CT 06605-1939 2016-05-13
1912301359 Dawn Vincent Nurse's Aide 263 W Pearl Rd, Torrington, CT 06790-3026 2014-10-14
1740603893 Wayne Grier Nurse's Aide 107 Fenn Rd, Newington, CT 06111-2250 2014-01-27
1780024943 Ida R Pratt Nurse's Aide 411 Barnum Ave, Stratford, CT 06614-5100 2013-07-02
1417268707 Maristane A Tedesco Nurse's Aide 34 Park Ave, Oakville, CT 06779-2108 2010-07-01
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Competitor

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City TERRYVILLE
Zip Code 06786

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Dataset Information

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.

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