KERRIANN PETTAWAY DNP
NPI 1942935408
Nurse Practitioner - Family in Huntsville, AL

Q: What is Kerriann Pettaway's NPI number?

The NPI number for Kerriann Pettaway is 1942935408. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Q: What is Kerriann Pettaway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kerriann Pettaway was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 19, 2022

7262 GOVERNORS WEST NW STE 105, HUNTSVILLE, AL 35806(256) 418-9014 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kerriann Pettaway Dnp NPPES

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

KERRIANN PETTAWAY DNP (NPI 1942935408) is an individual family provider in Huntsville, Alabama, licensed in Alabama (1-177822) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1942935408

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKERRIANN PETTAWAYCredential: DNP

Location Address7262 GOVERNORS WEST NW STE 105Huntsville, AL 35806-2378

Mailing Address3203 Rock Fence Rd SeOwens Cross Roads, AL 35763-7004 · (908) 917-5992

Phone(256) 418-9014

Sole ProprietorNo

Enumeration DateJuly 19, 2022

NPPES CertifiedJuly 19, 2022

✔ NPI 1942935408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 1-177822

7262 GOVERNORS WEST NW STE 105, Huntsville, AL 35806

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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 Kerriann Pettaway's NPI number?

The NPI number for Kerriann Pettaway is 1942935408. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Kerriann Pettaway located?

Kerriann Pettaway practices at 7262 Governors West NW Ste 105, Huntsville, AL 35806. The listed phone number is (256) 418-9014.

What is Kerriann Pettaway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kerriann Pettaway was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.