What is Desirae Pettit's NPI number?

Desirae Pettit's National Provider Identifier (NPI) is 1124649157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Desirae Pettit's specialty?

Desirae Pettit is listed in the NPPES registry with a primary specialty of Nurse's Aide (Nursing Service Related Providers).

Where is Desirae Pettit located?

Desirae Pettit's practice location on file with NPPES is 33 Beach Ave, Terryville, CT 06786-6317.

What is Desirae Pettit's phone number?

The practice phone number listed in the NPPES registry for Desirae Pettit is (203) 592-4593.

Is Desirae Pettit's NPI active?

Yes — Desirae Pettit's NPI (1124649157) is active in the NPPES registry as of the last update on 2020-04-30.

IndividualActive

Desirae Pettit

NPI 1124649157 · Nurse's Aide · Terryville, CT

Desirae Pettit is a Nurse's Aide provider in Terryville, CT (NPI 1124649157).

Provider details

NPI number: 1124649157
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Sex: Female
Sole proprietor: No
License: NA91285300 (CT)

Specialties & taxonomies

Nurse's AidePrimary376K00000XLicense NA91285300 (CT)
Nursing Service Related Providers

Profile Score

Established profile(65/100 index)

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

Registry tenure38% of score
6 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

33 Beach Ave

Terryville, CT 06786-6317

Phone: (203) 592-4593

Street-level locationGet directions

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Mailing address