Amanda Victoria Pittman, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

1071 Issued in MN

Practice address

968 Grand Ave
Saint Paul, MN 55105-3014

Phone

(651) 895-2520

Fax

(651) 330-3768

NPI assigned

Oct 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Midwives Cooperative LLC

  • Midwife
  • Gainesville, FL
  • NPI 1770910721
  NPD (past)

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1063964765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 43 1/2 AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213022",
            "telephone_number": "352-871-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053014",
            "telephone_number": "651-895-2520",
            "fax_number": "651-330-3768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 NW 6th St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326092944",
            "country_code": "US",
            "telephone_number": "352-377-3879",
            "fax_number": "352-377-3879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "AMANDA",
        "middle_name": "VICTORIA",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW342",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MN",
            "license": "1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pioneer Healing and Restoration Services Inc,
• Erin Elizabeth Piorier, CPM
• Pipe Trade Health Care Services
• Donald A Piper Jr., MD
• Elizabeth Pitchford, M.A., LPCC
• Channa Roxanne Pittman, RN
• Elizabeth Ann Pittman, MA CCC-SLP
• Gavin T Pittman, M.D.
• John Everett Pittman, PHARM.D.
• Stephen P Pittman, LICSW

• Midwife in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.