Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE TYLER PETTIS
Active Sole ProprietorSHANE TYLER PETTIS is a Peer Specialist healthcare provider located in AMHERST, New York. NPI 1386214807 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · AMHERST, NY
Registration Details
- NPI Number
- 1386214807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2021 (5.1707980560124 yrs)
- Last Updated
- Jun 28, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1412 SWEET HOME RD STE 3-5AMHERST, NY, 142282795Browse NY providers · Browse ZIP 14228
- Phone
- 7165891411
- Fax
- 7162763051
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in AMHERST, NY
| Name | Credential | NPI |
|---|---|---|
| MERCEDES BUSBY | — | 1174140545 |
| CHERYL GEARTZ | — | 1922744358 |
| TANISHA BROOKS | — | 1043090202 |
| ALISHA STEPHANIE CLINE | — | 1306616438 |
| MRS. JOANNE ROSE MARIE WALES | — | 1568223519 |
| NATALIE PEREZ | — | 1760367726 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.