Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ADDIE PETTIFORD
NPI 1487571378
Registered Nurse - Diabetes Educator in Lincoln, NE

Active since July 01, 2026
3901 PINE LAKE RD STE 410, LINCOLN, NE 68516(402) 483-8700(402) 483-8733 Get Directions Write a Review

NPPES record added: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Addie Pettiford NPPES

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

ADDIE PETTIFORD (NPI 1487571378) is an individual diabetes educator provider in Lincoln, Nebraska, licensed in Nebraska (95092) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1487571378
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameADDIE PETTIFORD
Location Address3901 PINE LAKE RD STE 410Lincoln, NE 68516-5415
Mailing Address3901 Pine Lake Rd Ste 410Lincoln, NE 68516-5415 · (402) 483-8700 · Fax (402) 483-8733
Fax(402) 483-8733
Sole ProprietorNo
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1487571378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License Licensed in NE · 95092
3901 PINE LAKE RD STE 410, Lincoln, NE 68516

Other Providers at the Same Location NPPES 12

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

Physician Assistant
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Counselor (Mental Health)
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Physician Assistant
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Physician Assistant
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Psychologist
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Registered Nurse (Diabetes Educator)
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Counselor (Mental Health)
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516

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 Addie Pettiford's NPI number?

The NPI number for Addie Pettiford is 1487571378. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Addie Pettiford located?

Addie Pettiford practices at 3901 Pine Lake Rd Ste 410, Lincoln, NE 68516. The listed phone number is (402) 483-8700.

What is Addie Pettiford's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Addie Pettiford was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.