What is Kristofer Pettway's NPI number?

Kristofer Pettway's National Provider Identifier (NPI) is 1427783315, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kristofer Pettway's specialty?

Kristofer Pettway is listed in the NPPES registry with a primary specialty of Prevention Professional (Other Service Providers).

Where is Kristofer Pettway located?

Kristofer Pettway's practice location on file with NPPES is 411 S Normade Ave Apt 732, Los Angeles, CA 90020-3396.

What is Kristofer Pettway's phone number?

The practice phone number listed in the NPPES registry for Kristofer Pettway is (516) 919-0061.

Is Kristofer Pettway's NPI active?

Yes — Kristofer Pettway's NPI (1427783315) is active in the NPPES registry as of the last update on 2022-07-23.

IndividualActive

Kristofer Pettway

NPI 1427783315 · Prevention Professional · Los Angeles, CA

Kristofer Pettway is a Prevention Professional provider in Los Angeles, CA (NPI 1427783315).

Provider details

NPI number: 1427783315
Entity type: Individual
Primary specialty: Prevention ProfessionalOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 19393832 (NY)

Specialties & taxonomies

Prevention ProfessionalPrimary405300000XLicense 19393832 (NY)
Other Service Providers

Profile Score

Established profile(60/100 index)

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

Registry tenure38% of score
4 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

411 S Normade Ave Apt 732

Los Angeles, CA 90020-3396

Phone: (516) 919-0061

Approximate (ZIP-level) locationGet directions

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Mailing address