MS. JENNIFER PETTY (NPI# 1306085196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306085196 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER PETTY |
| Practice Address |
4160 Grand View Blvd Los Angeles CA 90066-5214 |
| Practice Telephone | 3107511101 |
| Practice Fax Number | 3103975827 |
| Mailing Telephone | 3107511101 |
| Mailing Fax Number | 3103975827 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355A2700X |
Specialist/Technologist Specialization: Audiology Assistant |
SPA 953 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033563028 | Jennifer Petty | Counselor | 1817 Queen Anne Ave N Ste 313, Seattle, WA 98109-2876 | 2016-04-16 |
| 1932276466 | Jennifer Ann Petty | Nurse Practitioner | 1123 North Castleheights Avenue, Suite H, Lebanon, TN 37087-1510 | 2006-11-29 |
| 1316366958 | Jennifer Petty | Case Manager/Care Coordinator | 107 E Crandall Ave, Suite B, Harrison, AR 72601-3629 | 2014-04-10 |
| 1013236009 | Jennifer Sharell Petty | Pharmacist | 5108 Norwood Ave, Jacksonville, FL 32208-5032 | 2010-05-31 |
| Street Address |
4160 GRAND VIEW BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-5214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356498760 | Kathryn Anne Chambers | Marriage & Family Therapist | 4160 Grand View Blvd, Los Angeles, CA 90066-5214 | 2007-01-05 |
| 1295035574 | Jessica Swidryk | Marriage & Family Therapist | 4160 Grand View Blvd, Los Angeles, CA 90066-5214 | 2010-11-02 |
| 1982935276 | Richard Michael Lubaroff | Marriage & Family Therapist | 4160 Grand View Blvd, Los Angeles, CA 90066-5214 | 2010-01-26 |
| 1306082995 | Sophia S Nakabayashi | Counselor | 4160 Grand View Blvd, Los Angeles, CA 90066-5214 | 2009-01-02 |
| 1477701035 | Jaimee Lauren Yellin | Counselor | 4160 Grand View Blvd, Los Angeles, CA 90066-5214 | 2008-09-08 |
| 1922256569 | Anthony J Chambers | Marriage & Family Therapist | 4160 Grand View Blvd, Los Angeles, CA 90066-5214 | 2008-09-08 |
| 1013036201 | Adrienne Erica Salick | Psychologist | 4160 Grand View Blvd, Los Angeles, CA 90066-5214 | 2007-03-28 |
| 1376660258 | Gina Kanagawa Schwartz | Student in an Organized Health Care Education/Training Program | 4160 Grand View Blvd, Los Angeles, CA 90066-5214 | 2007-03-23 |
| 1093830614 | Gina Gonzalez | Marriage & Family Therapist | 4160 Grand View Blvd, Los Angeles, CA 90066-5214 | 2007-03-20 |
| 1295869410 | Tthe Help Group Child and Family Center | Community/Behavioral Health | 4160 Grand View Blvd, Los Angeles, CA 90066-5214 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 2355A2700X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Audiology Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932312477 | Laura Coppily Hernandez | Specialist/Technologist | 2100 W 3rd St, Suite 111, Los Angeles, CA 90057-1922 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447769401 | Hanley Hearing Centers | Specialist/Technologist | 6100 Coldbrook Ave, Lakewood, CA 90713-1028 | 2017-09-21 |
| 1538697487 | Suzanne Krumenacker | Specialist/Technologist | 16486 Bernardo Center Dr Ste 338, San Diego, CA 92128-2530 | 2017-05-23 |
| 1518413905 | Krissy Kendrick | Specialist/Technologist | 5425 Morgan Ave, Riverside, CA 92509-5344 | 2016-08-26 |
| 1780045815 | Audrey Alva | Specialist/Technologist | 460 W. Lambert Road, Brea, CA 92821 | 2016-03-17 |
| 1780085316 | High Desert Speech | Specialist/Technologist | 16785 Bear Valley Rd Ste 2, Hesperia, CA 92345-1423 | 2014-09-15 |
| 1831458348 | Jamie Marie Magliozzi | Specialist/Technologist | 1144 Calboro Dr, San Jose, CA 95117-2916 | 2012-05-04 |
| 1013217058 | Estela Vargas | Specialist/Technologist | 200 Jose Figueres Ave Ste 280, San Jose, CA 95116-1555 | 2010-10-25 |
| 1548404866 | Jewett and Associates Inc | Specialist/Technologist | 1485 Coventry Rd, Concord, CA 94518-1120 | 2009-04-30 |
| 1083895163 | Phillip Jan Vogel | Specialist/Technologist | 2434 Harris St, Eureka, CA 95503-4762 | 2007-11-17 |
| 1255510541 | Deborah Essex | Specialist/Technologist | 11885 Grevillea Ave, Apt 11, Hawthorne, CA 90250-2971 | 2007-11-02 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on MS. JENNIFER PETTY.
| 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.