SHYANNA PETTIS
NPI 1962368860
Homemaker in Indianapolis, IN

Q: What is Shyanna Pettis's NPI number?

The NPI number for Shyanna Pettis is 1962368860. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Q: What is Shyanna Pettis's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

Q: When was this NPI record last updated?

The NPPES record for Shyanna Pettis was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 05, 2026

3725 BONN BLVD, INDIANAPOLIS, IN 46228(317) 457-6479 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shyanna Pettis NPPES

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

SHYANNA PETTIS (NPI 1962368860) is an individual homemaker provider in Indianapolis, Indiana, licensed in Indiana (25-019673) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1962368860

Entity TypeIndividualFemale

Primary Taxonomy376J00000X

Provider Legal NameSHYANNA PETTIS

Location Address3725 BONN BLVDIndianapolis, IN 46228-6788

Mailing Address3725 Bonn BlvdIndianapolis, IN 46228-6788 · (317) 457-6479

Phone(317) 457-6479

Sole ProprietorYes

Enumeration DateJanuary 5, 2026

NPPES CertifiedJanuary 5, 2026

✔ NPI 1962368860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers

Taxonomy Code376J00000X

License✔ Licensed in IN · 25-019673

Definition

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

3725 BONN BLVD, Indianapolis, IN 46228

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shyanna Pettis's NPI number?

The NPI number for Shyanna Pettis is 1962368860. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Shyanna Pettis located?

Shyanna Pettis practices at 3725 Bonn Blvd, Indianapolis, IN 46228. The listed phone number is (317) 457-6479.

What is Shyanna Pettis's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Shyanna Pettis was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.