MRS. KATHLEEN TERESA PITTMAN (NPI# 1023572351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023572351 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN TERESA PITTMAN |
| Credential | RDN |
| Practice Address |
1717 Olympia Way Ste 206 Longview WA 98632-3929 |
| Mailing Address |
1057 12th Ave Longview WA 98632-2509 |
| Practice Telephone | 3604237740 |
| Practice Fax Number | 3604237894 |
| Mailing Telephone | 3604237740 |
| Mailing Fax Number | 3604237894 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI60919282 | WA | Dietary & Nutritional Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | DI60919282 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215182258 | Kathleen Pittman | Pharmacist | 1303 Sierra Blanca Dr, Duncanville, TX 75116-4119 | 2008-11-18 |
| 1003187105 | Kathleen Alice Pittman | Occupational Therapist | 5505 Edmonson Pike, Ste 103, Nashville, TN 37211-5872 | 2012-01-20 |
| 1396926267 | Kathleen M Pittman | Occupational Therapist | 3831 Hughes Ave, 506, Culver City, CA 90232-2751 | 2007-11-20 |
| Street Address |
1717 OLYMPIA WAY STE 206 |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295229821 | Jennifer Fae Hale | Registered Nurse | 1717 Olympia Way Ste 206, Longview, WA 98632-3929 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030456 | Stephanie Michelle Michael | Dietitian, Registered | 615 7th Ave # 17, Longview, WA 98632-1606 | 2019-08-27 |
| 1417447624 | Danyelle Bloomstrom | Dietitian, Registered | 600 Broadway St Ste 120, Longview, WA 98632-3256 | 2018-05-14 |
| 1609297431 | Candace Clark | Dietitian, Registered | 1615 Delware Street, Longview, WA 98632 | 2013-12-20 |
| 1659638963 | Stefanie Lynn Wilkerson | Dietitian, Registered | 770 Dennard St, Longview, TX 75605-8295 | 2012-04-12 |
| 1659691095 | Kristina R Macher | Dietitian, Registered | 712 N High St, Longview, TX 75601-5330 | 2010-06-08 |
| 1770524621 | Pamela Dawn Hignight | Dietitian, Registered | 1205 E Marshall Ave, Longview, TX 75601-5649 | 2006-06-10 |
| 1952364234 | Mary Lynn Vassar | Dietitian, Registered | 2901 N 4th St, Longview, TX 75605-5128 | 2006-04-08 |
| 1427027739 | Denise Frye | Dietitian, Registered | 107 Woodbine Place, #775, Longview, TX 75608 | 2006-03-17 |
| 1619471505 | Susan Hughes | Dietitian, Registered | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2018-03-23 |
| 1255789152 | Erika Jeanne Luther | Dietitian, Registered | 1615 Delaware St, Longview, WA 98632-2367 | 2016-06-01 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.