ISHONDA SHANICE PETTAWAY LPN
NPI 1992362248
Licensed Practical Nurse in Toledo, OH

Active since May 22, 2019
2005 ASHLAND AVE, TOLEDO, OH 43620(419) 841-7701 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2025, May 22, 2019 (2 updates tracked since 2019).

About Ishonda Shanice Pettaway Lpn NPPES

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

ISHONDA SHANICE PETTAWAY LPN (NPI 1992362248) is an individual licensed practical nurse in Toledo, Ohio, licensed in Ohio (170748) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1992362248
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameISHONDA SHANICE PETTAWAYCredential: LPN
Location Address2005 ASHLAND AVEToledo, OH 43620-1703
Mailing Address2005 Ashland AveToledo, OH 43620-1703 · (419) 841-7701
Sole ProprietorYes
Enumeration DateMay 22, 2019
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
NPI 1992362248 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 OH · 170748
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.
2005 ASHLAND AVE, Toledo, OH 43620

Other Identifiers 1

OtherLPN-170748OH · Lpn

Other Providers at the Same Location NPPES 20

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

Psychologist
2005 ASHLAND AVE
TOLEDO, OH 43620
Case Manager/Care Coordinator
2005 ASHLAND AVE
TOLEDO, OH 43620
Licensed Practical Nurse
2005 ASHLAND AVE
TOLEDO, OH 43620
Case Manager/Care Coordinator
2005 ASHLAND AVE
TOLEDO, OH 43620
Social Worker
2005 ASHLAND AVE
TOLEDO, OH 43620
Licensed Practical Nurse
2005 ASHLAND AVE
TOLEDO, OH 43620
Counselor (Addiction (Substance Use Disorder))
2005 ASHLAND AVE
TOLEDO, OH 43620
Case Manager/Care Coordinator
2005 ASHLAND AVE
TOLEDO, OH 43620

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 Ishonda Pettaway's NPI number?

The NPI number for Ishonda Pettaway is 1992362248. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Ishonda Pettaway located?

Ishonda Pettaway practices at 2005 Ashland Ave, Toledo, OH 43620. The listed phone number is (419) 841-7701.

What is Ishonda Pettaway'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 Ishonda Pettaway was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.