What is Tierra Pettway's NPI number?

Tierra Pettway's National Provider Identifier (NPI) is 1073491783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tierra Pettway's specialty?

Tierra Pettway is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Tierra Pettway located?

Tierra Pettway's practice location on file with NPPES is 53 Academy St, Patchogue, NY 11772-3821.

What is Tierra Pettway's phone number?

The practice phone number listed in the NPPES registry for Tierra Pettway is (516) 410-4896.

Is Tierra Pettway's NPI active?

Yes — Tierra Pettway's NPI (1073491783) is active in the NPPES registry as of the last update on 2025-08-22.

IndividualActive

Tierra Pettway

NPI 1073491783 · Licensed Practical Nurse · Patchogue, NY

Tierra Pettway is a Licensed Practical Nurse provider in Patchogue, NY (NPI 1073491783).

Provider details

NPI number: 1073491783
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 292164 (NY)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 292164 (NY)
Nursing Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

53 Academy St

Patchogue, NY 11772-3821

Phone: (516) 410-4896

Street-level locationGet directions

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Mailing address