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SHALITA PETTWAY
NPI 1912309642
Case Manager/Care Coordinator in Port St Lucie, FL

Active since September 25, 2014
7229 PINE LAKES BLVD, PORT ST LUCIE, FL 34952(772) 214-6911 Get Directions Write a Review

NPPES record last updated: September 25, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shalita Pettway NPPES

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

SHALITA PETTWAY (NPI 1912309642) is an individual case manager/care coordinator provider in Port St Lucie, Florida and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1912309642
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSHALITA PETTWAY
Location Address7229 PINE LAKES BLVDPort St Lucie, FL 34952
Mailing AddressPo Box 8532Hobe Sound, FL 33455 · (772) 214-6911
Phone(772) 214-6911
Sole ProprietorYes
Enumeration DateSeptember 25, 2014
✔ NPI 1912309642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
7229 PINE LAKES BLVD, Port St Lucie, FL 34952
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Other Identifiers 1

Other171M000000XFL · Medicare & Medicaid Services Cms

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 Shalita Pettway's NPI number?

The NPI number for Shalita Pettway is 1912309642. It was assigned to this individual provider in the NPPES registry on September 25, 2014.

Where is Shalita Pettway located?

Shalita Pettway practices at 7229 Pine Lakes Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 214-6911.

What is Shalita Pettway's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Shalita Pettway was last updated on September 25, 2014. 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.