Active NPI
Kenneth Pittman
- Adult Companion
- Washington, DC
National Provider Identifier
1184202061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 1621 Q St SE
Washington, DC 20020-5515 - Phone
- (202) 709-2920
- NPI assigned
- Mar 31, 2021
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | DC | Primary |
Addresses
Primary practice location
1621 Q St SE
Washington, DC 20020-5515
Mailing address
1523 17TH St SE Apt 2
Washington, DC 20020-5532
Phone (202) 285-4575
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1184202061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1523 17TH ST SE APT 2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205532",
"telephone_number": "202-285-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 Q ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205515",
"telephone_number": "202-709-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.