What is Lisa Pettus's NPI number?

Lisa Pettus's National Provider Identifier (NPI) is 1629439310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lisa Pettus's specialty?

Lisa Pettus is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).

Where is Lisa Pettus located?

Lisa Pettus's practice location on file with NPPES is 934 S Main St, Layton, UT 84041-7135.

What is Lisa Pettus's phone number?

The practice phone number listed in the NPPES registry for Lisa Pettus is (801) 773-7060.

Is Lisa Pettus's NPI active?

Yes — Lisa Pettus's NPI (1629439310) is active in the NPPES registry as of the last update on 2016-03-09.

IndividualActive

Lisa Pettus

NPI 1629439310 · Other Technician · Layton, UT

Lisa Pettus is a Other Technician provider in Layton, UT (NPI 1629439310).

Provider details

NPI number: 1629439310
Entity type: Individual
Primary specialty: Other TechnicianTechnologists, Technicians & Other Technical Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Other TechnicianPrimary247200000X
Technologists, Technicians & Other Technical Service Providers

Profile Score

Established profile(66/100 index)

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

Registry tenure38% of score
10 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

934 S Main St

Layton, UT 84041-7135

Phone: (801) 773-7060

Street-level locationGet directions

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Mailing address