Active NPI
Nancy J Pittman, NP-C
- Family Nurse Practitioner
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0913103
- Practice address
- 1801 Fairfield Ave Ste 408
Shreveport, LA 71101-4468 - Phone
- (318) 239-7045
- Fax
- (318) 585-0026
- NPI assigned
- Dec 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0913103 | MS | Primary |
Addresses
Primary practice location
1801 Fairfield Ave Ste 408
Shreveport, LA 71101-4468
Mailing address
PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1666 E Bert Kouns Industrial Loop
Suite 105
Shreveport, LA 71105-5718
Phone (318) 212-3520
1801 Fairfield Ave
Suite 408
Shreveport, LA 71101-4468
Phone (985) 892-7070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0913103 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current | Accepting new patients | |
| WK Urgent Care Center-Pierremont | Current | Accepting new patients | |
| Wound Care Associates LLC | Current | Accepting new patients | |
| University Health Shreveport LLC | Current | Accepting new patients | |
| WK Urgent Care Center - Bossier | Past | Accepting new patients |
Locations
1001 Lackland Blvd
Ste 110
Benton, LA 71006
Phone (318) 935-1500
2300 Hospital Dr
Ste 180
Bossier City, LA 71111
Phone (318) 212-7520
5751 Shed Rd
Ste 100
Bossier City, LA 71111
Phone (318) 935-1900
20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008
16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520
9460 Ellerbe Rd
Ste 140
Shreveport, LA 71106
Phone (318) 213-7070
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
1801 Fairfield Ave
Ste 408
Shreveport, LA 71101
Phone (318) 675-1322
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1639115132
-
- Specialist
- Hammond, LA
- NPI 1568793750
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
- Nurse Practitioner
- Shreveport, LA
- NPI 1619443611
-
- Family Medicine Physician
- Bossier City, LA
- NPI 1982640884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1134550189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1089",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704041089",
"telephone_number": "985-892-7070",
"fax_number": "985-892-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 FAIRFIELD AVE STE 408",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014468",
"telephone_number": "318-239-7045",
"fax_number": "318-585-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "NANCY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "F0913103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.