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Ronald Pettis
NPI 1720236185 · Licensed Practical Nurse · Rensselaer, NY
Ronald Pettis is a Licensed Practical Nurse provider in Rensselaer, NY (NPI 1720236185).
Provider details
- NPI number
- 1720236185
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 175427 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
87 Washington St
Rensselaer, NY 12144-2613
Phone: (518) 449-1142
Street-level locationGet directions
Mailing address
Po Box 148
Rensselaer, NY 12144-0148
Registry dates
- Enumerated
- 2008-08-28
- Last updated
- 2008-08-28
Frequently asked questions
- What is Ronald Pettis's NPI number?
- Ronald Pettis's National Provider Identifier (NPI) is 1720236185, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ronald Pettis's specialty?
- Ronald Pettis is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Ronald Pettis located?
- Ronald Pettis's practice location on file with NPPES is 87 Washington St, Rensselaer, NY 12144-2613.
- What is Ronald Pettis's phone number?
- The practice phone number listed in the NPPES registry for Ronald Pettis is (518) 449-1142.
- Is Ronald Pettis's NPI active?
- Yes — Ronald Pettis's NPI (1720236185) is active in the NPPES registry as of the last update on 2008-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.