IndividualActive
Shannon Pettaway, LPN
NPI 1184989741 · Licensed Practical Nurse · Toledo, OH
Shannon Pettaway, LPN is a Licensed Practical Nurse provider in Toledo, OH (NPI 1184989741).
Provider details
- NPI number
- 1184989741
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- PN144565MIV (OH)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1156 Corbin Rd
Toledo, OH 43612-2321
Phone: (419) 469-2719
Street-level locationGet directions
Mailing address
1156 Corbin Rd
Toledo, OH 43612-2321
Registry dates
- Enumerated
- 2012-07-10
- Last updated
- 2012-07-10
Frequently asked questions
- What is Shannon Pettaway's NPI number?
- Shannon Pettaway's National Provider Identifier (NPI) is 1184989741, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Pettaway's specialty?
- Shannon Pettaway is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Shannon Pettaway located?
- Shannon Pettaway's practice location on file with NPPES is 1156 Corbin Rd, Toledo, OH 43612-2321.
- What is Shannon Pettaway's phone number?
- The practice phone number listed in the NPPES registry for Shannon Pettaway is (419) 469-2719.
- Is Shannon Pettaway's NPI active?
- Yes — Shannon Pettaway's NPI (1184989741) is active in the NPPES registry as of the last update on 2012-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.