Dianne Denise Pittman, MSN, ACNP, RN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

541246 Issued in TX

Practice address

506 W Windcrest St Ste 300
Fredericksburg, TX 78624-4639

Phone

(830) 990-0255

Fax

(830) 997-7569

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: dianne.pittman@txo.ikm.direct-ci.com

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1174553465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W WINDCREST ST STE 300",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244639",
            "telephone_number": "830-990-0255",
            "fax_number": "830-997-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "DIANNE",
        "middle_name": "DENISE",
        "credential": "MSN, ACNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "541246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y0398",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335303902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pelvic Grace PT and Wellness
• Rene Carlisle Pennington, LPC
• Callie Peters, MS CCC-SLP
• Paul Phillips III, M.D.
• Bertha May Pimm, COTA
• Anne C Pluenneke, MD
• Sierra Rayne Ponce, RBT
• Christy W Pounds
• Pinky Bennett Pratt III, APRN, FNP-BC, FNP-C
• Precision Dentistry & Implants of Fredericksburg PLLC

• Acute Care Nurse Practitioner in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.