IndividualActive
Lance Petty
NPI 1174090153 · Registered Nurse · Wakefield, MA
Lance Petty is a Registered Nurse provider in Wakefield, MA (NPI 1174090153).
Provider details
- NPI number
- 1174090153
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 345381 (TX)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
701 Edgewater Dr Ste 300
Wakefield, MA 01880-6242
Phone: (781) 486-4116
Street-level locationGet directions
Mailing address
18158 Woodsdale Ct
Porter, TX 77365-3651
Registry dates
- Enumerated
- 2018-10-29
- Last updated
- 2018-10-29
Frequently asked questions
- What is Lance Petty's NPI number?
- Lance Petty's National Provider Identifier (NPI) is 1174090153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lance Petty's specialty?
- Lance Petty is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Lance Petty located?
- Lance Petty's practice location on file with NPPES is 701 Edgewater Dr Ste 300, Wakefield, MA 01880-6242.
- What is Lance Petty's phone number?
- The practice phone number listed in the NPPES registry for Lance Petty is (781) 486-4116.
- Is Lance Petty's NPI active?
- Yes — Lance Petty's NPI (1174090153) is active in the NPPES registry as of the last update on 2018-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.