Individual provider Active NPI

Tiffany Anne Pittman, B.S.

  • Case Manager/Care Coordinator
  • Urbanna, VA
National Provider Identifier
1124450937
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
17100000X Issued in VA
Practice address
5372B Old Virginia St
Urbanna, VA 23175
Phone
(804) 758-5250
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 17100000X VA Primary

Addresses

Primary practice location

5372B Old Virginia St
Urbanna, VA 23175

Mailing address

PO Box 40
Saluda, VA 23149-0040
Phone (804) 758-5250

Other identifiers 1

IdentifierTypeStateIssuer
49-78137MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
17100000XVAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Peninsula Northern Neck Community Services Board Case Manager/Care Coordinator Past Accepting new patients
Middle Peninsula-Northern Neck Mental Health and Mental Retardation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1124450937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231490040",
            "telephone_number": "804-758-5250",
            "fax_number": "804-758-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372B OLD VIRGINIA ST",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "23175",
            "telephone_number": "804-758-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "TIFFANY",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "17100000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-78137",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbanna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.