JERYL LYNN PITTMAN (NPI# 1891990479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891990479 |
Entity Type | Individual |
Full Name | JERYL LYNN PITTMAN |
Credential | APRN |
Practice Address |
3190 Irvine Rd Richmond KY 40475-9031 |
Practice Telephone | 8593697099 |
Practice Fax Number | 8593690073 |
Mailing Telephone | 8593697099 |
Mailing Fax Number | 8593690073 |
Enumeration Date | 2007-06-15 |
Last Update Date | 2020-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
3003278 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3190 IRVINE RD |
City | RICHMOND |
State | KY |
Zip Code | 40475-9031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033118864 | George Michael Pittman | Family Medicine | 3190 Irvine Rd, Richmond, KY 40475-9031 | 2005-07-14 |
1679053581 | Family Care Clinic Pllc | Clinic/Center | 3190 Irvine Rd, Richmond, KY 40475-9031 | 2018-08-20 |
1538605837 | Family Care Family Clinic | Clinic/Center | 3190 Irvine Rd, Richmond, KY 40475-9031 | 2017-01-10 |
1891059895 | April L Carman | Physician Assistant | 3190 Irvine Rd, Richmond, KY 40475-9031 | 2012-06-25 |
1326355801 | The Family Clinic Pllc | Nurse Practitioner | 3190 Irvine Rd, Richmond, KY 40475-9031 | 2010-09-07 |
1033291695 | The Family Practice of Dr. George M. Pittman Pllc | Family Medicine | 3190 Irvine Rd, Richmond, KY 40475-9031 | 2006-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
Find all providers in zip 40475 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346864725 | Karen Guidry | Nurse Practitioner | 2102 Broad Branch Cir, Richmond, VA 23238-6459 | 2020-06-02 |
1518517655 | Alternative Health Solutions LLC | Nurse Practitioner | 235 Boggs Ln Ste 12&3, Richmond, KY 40475-2584 | 2019-09-19 |
1518520659 | Loretta Nkemjika Bennam | Nurse Practitioner | 8622 Granite Peach Ln, Richmond, TX 77407-8614 | 2019-04-15 |
1902284508 | Vivian Irabor | Nurse Practitioner | 9215 Clearwater Ranch Ln, Richmond, TX 77407-1701 | 2015-05-14 |
1538348388 | Center for Internal Medicine Hyper Kidney Disease & Critical Care Inc | Nurse Practitioner | 110 N Robinson St Ste 305, Richmond, VA 23220-4461 | 2007-10-29 |
1699375964 | Kateria Sha'kee Carter Washington | Nurse Practitioner | 2809 Emerywood Pkwy, Richmond, VA 23294-3730 | 2020-10-27 |
1871100545 | Elizabeth Butler Kouzel | Nurse Practitioner | 401 N 11th St, Richmond, VA 23219-1901 | 2020-09-28 |
1487261160 | Nicole Blankenship | Nurse Practitioner | 1200 W Cary St, Richmond, VA 23220-5410 | 2020-09-28 |
1235752239 | Allday Healthcare Inc | Nurse Practitioner | 1118 Ferry St, Richmond, TX 77469-2921 | 2020-05-26 |
1730737735 | Mika Parker Catalano | Nurse Practitioner | 7611 Forest Ave Ste 100, Richmond, VA 23229-4946 | 2019-09-03 |
Find all providers in RICHMOND |
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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.