Tyree Pettway
NPI 1154952463 · Community Health Worker · Los Angeles, CA
Tyree Pettway is a Community Health Worker provider in Los Angeles, CA (NPI 1154952463).
Provider details
- NPI number
- 1154952463
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Day Training/Habilitation Specialist373H00000X
Nursing Service Related Providers
Profile Score
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
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
Mailing address
Registry dates
- Enumerated
- 2020-01-27
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Frequently asked questions
- What is Tyree Pettway's NPI number?
- Tyree Pettway's National Provider Identifier (NPI) is 1154952463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyree Pettway's specialty?
- Tyree Pettway is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Tyree Pettway located?
- Tyree Pettway's practice location on file with NPPES is 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821.
- What is Tyree Pettway's phone number?
- The practice phone number listed in the NPPES registry for Tyree Pettway is (323) 593-5300.
- Is Tyree Pettway's NPI active?
- Yes — Tyree Pettway's NPI (1154952463) is active in the NPPES registry as of the last update on 2025-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.