What is Nisherah Pettaway's NPI number?

Nisherah Pettaway's National Provider Identifier (NPI) is 1093592784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nisherah Pettaway's specialty?

Nisherah Pettaway is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Nisherah Pettaway located?

Nisherah Pettaway's practice location on file with NPPES is 7161 East Ave Apt 21, Rancho Cucamonga, CA 91739-5916.

What is Nisherah Pettaway's phone number?

The practice phone number listed in the NPPES registry for Nisherah Pettaway is (909) 749-3674.

Is Nisherah Pettaway's NPI active?

Yes — Nisherah Pettaway's NPI (1093592784) is active in the NPPES registry as of the last update on 2023-09-14.

IndividualActive

Nisherah Pettaway

NPI 1093592784 · Community Health Worker · Rancho Cucamonga, CA

Nisherah Pettaway is a Community Health Worker provider in Rancho Cucamonga, CA (NPI 1093592784).

Provider details

NPI number: 1093592784
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(51/100 index)

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

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% 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

7161 East Ave Apt 21

Rancho Cucamonga, CA 91739-5916

Phone: (909) 749-3674

Street-level locationGet directions

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Mailing address