Tinesha Shanta Pettiway
Nurse Practitioner - Gerontology
205 E Medical Center Blvd # 100, Webster
Texas, 77598-4376
346-800-6001
Tinesha Shanta Pettiway is a Webster, Texas based nurse practitioner who is specialized as Gerontology nurse. Active license number of Tinesha Shanta Pettiway is 1129705 for Gerontology in Texas. Her current practice location is 205 E Medical Center Blvd # 100, Webster. Patients can reach her at 346-800-6001 with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1881375780.
Tinesha Shanta Pettiway is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Tinesha Shanta Pettiway speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Tinesha Shanta Pettiway |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Practice Address: | 205 E Medical Center Blvd # 100, Webster,
Texas, 77598-4376 |
| Phone: | 346-800-6001 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1881375780 |
| NPI Enumeration Date: | 25 Jul, 2023 |
| NPI Last Update On: | 16 Oct, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tinesha Shanta Pettiway are as mentioned below.
| License Number | Specialization | State | Status | |
| 1129705 | Gerontology | Texas | Primary | |
| 1129705 | Adult Health | Texas | Secondary | |
| 1129705 | Family | Texas | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tinesha Shanta Pettiway
12700 Stafford Rd Apt 1321,
Stafford, Texas |
| Zip: | 77477-3576 |
| Phone Number: | 205-401-7386 |
Patients can reach Tinesha Shanta Pettiway at
205 E Medical Center Blvd # 100, Webster, Texas or can
call to book an appointment on 346-800-6001.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.