Olean Denise Pittman

Primary specialty

HomemakerTaxonomy code 376J00000X

License

002482 Issued in MS

Practice address

24224 Ms Highway 15
Mathiston, MS 39752-6876

Phone

(662) 263-3194

NPI assigned

Oct 27, 2022

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace & Mercy Personal Care Provider LLC

  • Home Health Agency
  • Eupora, MS
  • NPI 1760199806
  NPD Authorized official

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1104533348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24224 MS HIGHWAY 15",
            "city": "MATHISTON",
            "state": "MS",
            "postal_code": "397526876",
            "telephone_number": "662-263-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24224 MS HIGHWAY 15",
            "city": "MATHISTON",
            "state": "MS",
            "postal_code": "397526876",
            "telephone_number": "662-263-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "OLEAN",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "002482",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MS",
            "license": "3996",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MS",
            "license": "002482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dabbs Drugs LLC (Dabbs Pharmacy & Gifts)
• Kayla Nicole Dickerson
• Ashleigh Tindall Flora
• Kathy Johnson, NP
• Robert Myers, FNP-C
• Webster County Schools
• Webster Family Practice
• Webster Urgent Care LLC

• Homemaker in Mathiston, MS
• Providers in Mathiston, MS by specialty
• Homemaker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.