Individual provider Active NPI

Vivian Wright Pittman, NP

  • Family Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1164072278
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP146114 Issued in TX
Practice address
140 S Custer Rd Ste 100
McKinney, TX 75072-6103
Phone
(469) 495-9124
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903571 MS
Family Nurse Practitioner 363LF0000X AP146114 TX Primary

Addresses

Primary practice location

140 S Custer Rd Ste 100
McKinney, TX 75072-6103

Mailing address

140 S Custer Rd Ste 100
McKinney, TX 75072-6103
Phone (469) 495-9124

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address vpittman2017618@Direct.TexasHealth.org Health Information Exchange (HIE)
Direct Messaging Address vpittman2017618@Direct.TexasHealth.org Health Information Exchange (HIE)
Direct Messaging Address vpittman2017618@Direct.TexasHealth.org Health Information Exchange (HIE)
Direct Messaging Address vpittman2017618@Direct.TexasHealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191127000194 MS Practitioner - Nurse Practitioner 4385077692 Reassigns benefits to 1 organization
I20220215000289 TX Practitioner - Nurse Practitioner 4385077692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

5964 W Parker Rd
Suite 100
Plano, TX 75093-7788
Phone (469) 495-9122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP146114TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Nov 1, 2019 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Nov 1, 2019 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Family Current Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care CurrentSince Feb 1, 2022 Accepting new patients

Locations

115 Highway 16 W
Carthage, MS 39051
Phone (601) 298-3101

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

140 S Custer Rd
Ste 100
McKinney, TX 75072
Phone (469) 459-9124

5964 W Parker Rd
Ste 100
Plano, TX 75093
Phone (469) 495-9122

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Organizations & group practices 7

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1164072278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S CUSTER RD STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750726103",
            "telephone_number": "469-495-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S CUSTER RD STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750726103",
            "telephone_number": "469-495-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "VIVIAN",
        "middle_name": "WRIGHT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP146114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vpittman2017618@Direct.TexasHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "140 S Custer Rd Ste 100",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750726103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vpittman2017618@Direct.TexasHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "140 S Custer Rd Ste 100",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750726103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vpittman2017618@Direct.TexasHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "140 S Custer Rd Ste 100",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750726103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vpittman2017618@Direct.TexasHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "140 S Custer Rd Ste 100",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750726103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.