MARIE PITTMAN (NPI# 1063843183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063843183 |
| Entity Type | Individual |
| Full Name | MARIE PITTMAN |
| Credential | PA-C |
| Practice Address |
763 N 1650 W Springville UT 84663-5066 |
| Practice Telephone | 8014913910 |
| Practice Fax Number | 8014913911 |
| Mailing Telephone | 8014913910 |
| Mailing Fax Number | 8014913911 |
| Enumeration Date | 2013-11-30 |
| Last Update Date | 2013-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
6989568-8906 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6989568-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780827071 | Marie C Pittman | Family Medicine | 2705 Pelham Parkway Suite 200, Pelham, AL 35124-1185 | 2009-04-15 |
| Street Address |
763 N 1650 W |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649342734 | Uhs At Canyon Creek Inc | Psychiatric Residential Treatment Facility | 763 N 1650 W, Springville, UT 84663-5066 | 2006-11-14 |
| 1518501568 | Alyssa Damron | Social Worker | 763 N 1650 W, Springville, UT 84663-5066 | 2019-11-02 |
| 1578107678 | Seth Conrad Chipman | Counselor | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-31 |
| 1164066262 | Kaylea Marie Hopkins | Licensed Practical Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-31 |
| 1588208987 | Tamara Brock | Registered Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-30 |
| 1740824200 | Saralynn Morgan | Registered Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-28 |
| 1023651635 | Tamara Jo Ferrell | Licensed Practical Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-26 |
| 1033752647 | Heather Merrill | Registered Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-26 |
| 1124661822 | Patricia L Kirkman | Registered Nurse | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-25 |
| 1508409368 | Kimberly Marie Christie | Social Worker | 763 N 1650 W, Springville, UT 84663-5066 | 2019-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114412905 | Daniel Harold Karstedt | Physician Assistant | 224 E Main St, Springville, NY 14141-1443 | 2018-06-25 |
| 1417939943 | Kenneth M Osborn | Physician Assistant | 210 E Main St, Springville, NY 14141-1442 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 84663 |
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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.