SAMONE PETTWAY
NPI 1144894478
Licensed Practical Nurse in Waterbury, CT

Active since May 20, 2021
855 LAKEWOOD RD, WATERBURY, CT 06704(860) 793-3500 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samone Pettway NPPES

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

SAMONE PETTWAY (NPI 1144894478) is an individual licensed practical nurse in Waterbury, Connecticut, licensed in Connecticut (40373) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1144894478
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSAMONE PETTWAY
Location Address855 LAKEWOOD RDWaterbury, CT 06704-5408
Mailing Address492 East St Apt 13Plainville, CT 06062-3272 · (203) 988-7366
Sole ProprietorNo
Enumeration DateMay 20, 2021
NPPES CertifiedMay 20, 2021
NPI 1144894478 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 CT · 40373
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.

855 LAKEWOOD RD, Waterbury, CT 06704

Other Identifiers 1

Other1231CT · N/a

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
855 LAKEWOOD RD
WATERBURY, CT 06704
Counselor
855 LAKEWOOD RD
WATERBURY, CT 06704
Licensed Practical Nurse
855 LAKEWOOD RD
WATERBURY, CT 06704
Social Worker (Clinical)
855 LAKEWOOD RD
WATERBURY, CT 06704
Social Worker
855 LAKEWOOD RD
WATERBURY, CT 06704
Social Worker (Clinical)
855 LAKEWOOD RD
WATERBURY, CT 06704
Social Worker
855 LAKEWOOD RD
WATERBURY, CT 06704
Social Worker
855 LAKEWOOD RD
WATERBURY, CT 06704

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 Samone Pettway's NPI number?

The NPI number for Samone Pettway is 1144894478. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Samone Pettway located?

Samone Pettway practices at 855 Lakewood Rd, Waterbury, CT 06704. The listed phone number is (860) 793-3500.

What is Samone Pettway'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 Samone Pettway was last updated on May 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.