1. Home
  2. Directory
  3. Missouri
  4. Ballwin
  5. Licensed Practical Nurse
  6. NPI Profile

ANGELA CHRISTINE PETTIS LPN
NPI 1053056143
Licensed Practical Nurse in Ballwin, MO

Active since May 03, 2022
1 MERAMEC BLUFFS DR, BALLWIN, MO 63021(636) 923-2399 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Christine Pettis Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA CHRISTINE PETTIS LPN (NPI 1053056143) is an individual licensed practical nurse in Ballwin, Missouri, licensed in Missouri (2003026650) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1053056143
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELA CHRISTINE PETTISCredential: LPN
Location Address1 MERAMEC BLUFFS DRBallwin, MO 63021-3309
Mailing Address40 Meramec Trail DrBallwin, MO 63021-3331 · (636) 923-2399
Phone(636) 923-2399
Sole ProprietorNo
Enumeration DateMay 3, 2022
NPPES CertifiedMay 3, 2022
✔ NPI 1053056143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MO · 2003026650
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1 MERAMEC BLUFFS DR, Ballwin, MO 63021
Open in Google Maps ↗

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MELANIE KORNBLUM OTR/L
Occupational Therapist
1 MERAMEC BLUFFS DR
BALLWIN, MO 63021
St. Louis County (636) 861-0600
ALEXANDRA ALCARAZ OTR/L
Occupational Therapist
1 MERAMEC BLUFFS DR
BALLWIN, MO 63021
St. Louis County (314) 566-0179
FERUZA YURDANIDZE
Physical Therapy Assistant
1 MERAMEC BLUFFS DR
BALLWIN, MO 63021
St. Louis County (636) 861-0600
SHENEQUA MORTON
Clinical Nurse Specialist (Long-Term Care)
1 MERAMEC BLUFFS DR
BALLWIN, MO 63021
St. Louis County (314) 605-7302
TARA LAYNE GALLAGHER COTA
Occupational Therapy Assistant
1 MERAMEC BLUFFS DR
BALLWIN, MO 63021
St. Louis County (636) 861-0600
NORA SMITH
Occupational Therapist
1 MERAMEC BLUFFS DR
BALLWIN, MO 63021
St. Louis County (636) 861-0600
SARAH DAVIS M.D.
Internal Medicine
1 MERAMEC BLUFFS DR
BALLWIN, MO 63021
St. Louis County (314) 925-0903
LUTHERAN SENIOR SERVICES
Assisted Living Facility
1 MERAMEC BLUFFS DR
BALLWIN, MO 63021
St. Louis County (636) 861-0600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Pettis's NPI number?

The NPI number for Angela Pettis is 1053056143. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Angela Pettis located?

Angela Pettis practices at 1 Meramec Bluffs Dr, Ballwin, MO 63021. The listed phone number is (636) 923-2399.

What is Angela Pettis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Angela Pettis was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.