Michelle Lynn Pettis
Licensed Practical Nurse • Massillon, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michelle Pettis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Michelle Pettis was a registered Licensed Practical Nurse practicing in Massillon, OH. Throughout an active medical career spanning 5 years, Michelle Pettis provided care at the practice location at 1660 NAVE RD SE until profile deactivation on 2023-12-06.
Practice Location & Contact Primary Location
1660 Nave Rd Se
Massillon, OH 446469604
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Massillon, OH
Practicing in Massillon, OH (13034 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Peer Specialist
Registered Nurse - Addiction (Substance Use Disorder)
Registered Nurse
Counselor - Addiction (Substance Use Disorder)
Chemical Dependency Counselor Assistant
Social Worker
Licensed Social Worker
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 06, 2023
NPI status registered as active in NPPES database
Registered at 1660 NAVE RD SE, MASSILLON, OH 446469604 (Tel: 3308379411)
Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)
Recorded as MICHELLE PETTIS
Licensed Practical Nurse (License #LPN093955MEDSIV in OH)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Michelle Pettis
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
625 Cleveland Ave Nw
Canton, OH 447021805
Phone: 3304550374
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.