Channa Roxanne Pittman, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R171403-6 Issued in MN

Practice address

1115 Greenbrier St
Saint Paul, MN 55106-2540

Phone

(651) 354-4228

Fax

(651) 797-4413

NPI assigned

Mar 12, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Channa Pittman

  • Home Health Registered Nurse
  • Saint Paul, MN
  • NPI 1861246696
  NPD Authorized official
• Keys to Best Health LLC

  • Registered Nurse
  • Saint Paul, MN
  • NPI 1396234407
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1013158609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 GREENBRIER ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062540",
            "telephone_number": "651-354-4228",
            "fax_number": "651-797-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GREENBRIER ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062540",
            "telephone_number": "651-354-4228",
            "fax_number": "651-797-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "CHANNA",
        "middle_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R171403-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Piorier, CPM
• Pipe Trade Health Care Services
• Donald A Piper Jr., MD
• Elizabeth Pitchford, M.A., LPCC
• Amanda Victoria Pittman, LM, CPM
• Elizabeth Ann Pittman, MA CCC-SLP
• Gavin T Pittman, M.D.
• John Everett Pittman, PHARM.D.
• Stephen P Pittman, LICSW
• Siwadon Pitukweerakul, M.D.

• Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.