TYREE PETTWAY
NPI 1154952463
Community Health Worker in Los Angeles, CA

Active since January 27, 2020
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008(323) 593-5300 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Jan 27, 2020 (2 updates tracked since 2020).

About Tyree Pettway NPPES

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

TYREE PETTWAY (NPI 1154952463) is an individual community health worker in Los Angeles, California and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1154952463
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameTYREE PETTWAY
Location Address3850 CRENSHAW BLVDLos Angeles, CA 90008-1821
Mailing Address3850 Crenshaw BlvdLos Angeles, CA 90008-1821 · (323) 593-5300
Sole ProprietorYes
Enumeration DateJanuary 27, 2020
Last NPPES UpdateMay 22, 20252 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
NPI 1154952463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
3850 CRENSHAW BLVD, Los Angeles, CA 90008

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.

Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Counselor (Mental Health)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Nurse Practitioner
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Marriage & Family Therapist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Peer Specialist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Community Health Worker
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008

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 Tyree Pettway's NPI number?

The NPI number for Tyree Pettway is 1154952463. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Tyree Pettway located?

Tyree Pettway practices at 3850 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (323) 593-5300.

What is Tyree Pettway's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Tyree Pettway was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.