Larry Pittman

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

548 Issued in NC

Practice address

4303 Cricklewood St
Lumberton, NC 28358-2406

Phone

(910) 738-1208

NPI assigned

Nov 16, 2005

Last updated

Jul 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1063494938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 CRICKLEWOOD ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582406",
            "telephone_number": "910-738-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 CRICKLEWOOD ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582406",
            "telephone_number": "910-738-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111774",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Pham, RPH
• Phillip McIver DDS PA
• Cameshala L Phillips, BSN, RN
• Maya Pinzon, DO
• Jane Pitman, OTR/L
• Summer L Pittman
• Kaitlyn Rose Plohetski
• Keith P Poindexter, OD
• Ricardo Olaguivel Pojol, MD
• Hiondy Polanco Morillo, DO

• Addiction (Substance Use Disorder) Counselor in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.