MRS. TAMIKA SHAWNTRICE PETTY LPN
NPI 1205202207
Licensed Practical Nurse in Buffalo, NY

Q: What is Tamika Petty's NPI number?

The NPI number for Tamika Petty is 1205202207. It was assigned to this individual provider in the NPPES registry on August 13, 2015. The provider is also known as Tamika Shawntrice Newell Lpn.

Q: What is Tamika Petty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tamika Petty was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 13, 2015

189 BRUNSWICK BLVD, 2, BUFFALO, NY 14208(716) 247-1481 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Tamika Shawntrice Petty Lpn NPPES

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

MRS. TAMIKA SHAWNTRICE PETTY LPN (NPI 1205202207) is an individual licensed practical nurse in Buffalo, New York, licensed in New York (280729) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1205202207

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. TAMIKA SHAWNTRICE PETTYCredential: LPN

Location Address189 BRUNSWICK BLVD, 2Buffalo, NY 14208-1622

Mailing Address189 Brunswick Blvd, 2Buffalo, NY 14208-1622 · (716) 247-1481

Phone(716) 247-1481

Sole ProprietorYes

Enumeration DateAugust 13, 2015

✔ NPI 1205202207 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 NY · 280729

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.

189 BRUNSWICK BLVD, Buffalo, NY 14208

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Other Names 1

Former Name (1)Tamika Shawntrice Newell Lpn

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 Tamika Petty's NPI number?

The NPI number for Tamika Petty is 1205202207. It was assigned to this individual provider in the NPPES registry on August 13, 2015. The provider is also known as Tamika Shawntrice Newell Lpn.

Where is Tamika Petty located?

Tamika Petty practices at 189 Brunswick Blvd 2, Buffalo, NY 14208. The listed phone number is (716) 247-1481.

What is Tamika Petty'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 Tamika Petty was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.