MRS. LANDON EIREEN PETTIT A-GNP-C NPI 1205392560

NPI Information

  • NPI: 1205392560
  • Provider Name: MRS. LANDON EIREEN PETTIT, A-GNP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2584 PATTERSON RD STE C
    GRAND JUNCTION, CO
    ZIP 81505
  • Phone: (970) 465-8908

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NPI Details

MRS. Landon Eireen Pettit, A-GNP-C is an adult health nurse practitioner in Grand Junction, CO. MRS. Landon Eireen Pettit, A-GNP-C NPI is 1205392560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2584 PATTERSON RD STE C
GRAND JUNCTION, CO
ZIP 81505-452
Phone: (970) 465-8908
Fax: (970) 233-0130

The NPI 1205392560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Automated urinalysis test (HCPCS:81003)
  • Hemoglobin a1c level (HCPCS:83036)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 2/12/2019 and was last updated on 9/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthRXN.0104530-NPCOLORADONo
2363LA2200XNurse PractitionerAdult HealthAPN.0995293-NPCOLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RXN.0104530-NPOTHERCOLORADOCO RXN
2APN.0995293OTHERCOLORADOCOLORADO LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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