Tinesha Pettiway is one of 162 nurse practitioners practicing in Webster, Texas .
Tinesha Pettiway practices with Minivasive Pain Specialists,PLLC.
Registry record (NPPES)
NPI
1881375780
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Address on file
205 E Medical Center Blvd # 100
Enumerated
Jul 25, 2023
Record last updated
Oct 16, 2023
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
205 E Medical Ctr Blvd Suite 100Webster , TX 77598
More nurse practitioners in Webster
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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