What is Carol Pettibone's NPI number?

Carol Pettibone's National Provider Identifier (NPI) is 1114704319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Carol Pettibone's specialty?

Carol Pettibone is listed in the NPPES registry with a primary specialty of Adult Care Home Facility (Nursing & Custodial Care Facilities).

Where is Carol Pettibone located?

Carol Pettibone's practice location on file with NPPES is 1840 Gray Lynn Dr, Walla Walla, WA 99362-9247.

What is Carol Pettibone's phone number?

The practice phone number listed in the NPPES registry for Carol Pettibone is (509) 529-3447.

Is Carol Pettibone's NPI active?

Yes — Carol Pettibone's NPI (1114704319) is active in the NPPES registry as of the last update on 2023-09-11.

IndividualActive

Carol Pettibone

NPI 1114704319 · Adult Care Home Facility · Walla Walla, WA

Carol Pettibone is a Adult Care Home Facility provider in Walla Walla, WA (NPI 1114704319).

Provider details

NPI number: 1114704319
Entity type: Individual
Primary specialty: Adult Care Home FacilityNursing & Custodial Care Facilities
Sex: Female
Sole proprietor: Yes
License: 310601 (WA)

Specialties & taxonomies

Adult Care Home FacilityPrimary311ZA0620XLicense 310601 (WA)
Nursing & Custodial Care Facilities

Profile Score

Established profile(58/100 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
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

1840 Gray Lynn Dr

Walla Walla, WA 99362-9247

Phone: (509) 529-3447

Street-level locationGet directions

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Mailing address