What is Kiesha Pettine's NPI number?

Kiesha Pettine's National Provider Identifier (NPI) is 1316621717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kiesha Pettine's specialty?

Kiesha Pettine is listed in the NPPES registry with a primary specialty of Prosthetic/Orthotic Supplier (Suppliers).

Where is Kiesha Pettine located?

Kiesha Pettine's practice location on file with NPPES is 7901 4th St N Ste 15235, St Petersburg, FL 33702-4305.

What is Kiesha Pettine's phone number?

The practice phone number listed in the NPPES registry for Kiesha Pettine is (727) 304-4705.

Is Kiesha Pettine's NPI active?

Yes — Kiesha Pettine's NPI (1316621717) is active in the NPPES registry as of the last update on 2023-07-09.

IndividualActive

Kiesha Pettine

NPI 1316621717 · Prosthetic/Orthotic Supplier · St Petersburg, FL

Kiesha Pettine is a Prosthetic/Orthotic Supplier provider in St Petersburg, FL (NPI 1316621717).

Provider details

NPI number: 1316621717
Entity type: Individual
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Prosthetic/Orthotic SupplierPrimary335E00000X
Suppliers

Profile Score

Established profile(52/100 index)

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

Registry tenure38% of score
3 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

7901 4th St N Ste 15235

St Petersburg, FL 33702-4305

Phone: (727) 304-4705

Street-level locationGet directions

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Mailing address