Jacqueline Pitterich, CRNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

SP012676 Issued in PA

Practice address

4401 Penn Ave
Pittsburgh, PA 15224-1334

Phone

(412) 692-5030

NPI assigned

Dec 12, 2014

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

State licenses

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1124426747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 BROADLAWN DR",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372045",
            "telephone_number": "412-302-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241334",
            "telephone_number": "412-692-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTERICH",
        "first_name": "JACQUELINE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "PA",
            "license": "SP012676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna N Pitcairn, MA
• Jonathan Pitcher, M.D., PH.D.
• Raymond D Pitetti, MD
• Ashley Pitrone
• Pitt Home Health Care Agency LLC
• Melizza Rai Pagala Pitterman
• Howard Pittle, MD
• Naomi Ruben Pittle, LCSW
• Allison L Pittman, LCSW
• Kelyn N Pittman, MD

• All providers in Pittsburgh, PA
• Critical Care Neonatal Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.