Astro Nicholas Pittman, CDPT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

CO60943555 Issued in WA

Practice address

861 Poplar PL S
Seattle, WA 98144-2827

Phone

(206) 223-9578

NPI assigned

Jun 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Edrick Nicholas Pittman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1194387258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 POPLAR PL S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442827",
            "telephone_number": "206-223-9578",
            "fax_number": "206-838-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 POPLAR PL S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442827",
            "telephone_number": "206-223-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "ASTRO",
        "middle_name": "NICHOLAS",
        "credential": "CDPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "CO60943555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDRICK",
            "last_name": "PITTMAN",
            "middle_name": "NICHOLAS",
            "credential": "CDPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Michelle Pitsch, LMT
• Davis Charles Pitt, D.O.
• Andrew J Pittaway, BM,BS
• Megan Pittaway, PA-C
• Anna Elizabeth Pittman, CERTIFIED NURSES AID
• Denny Van Pittman, MSN, NNP-BC
• Kentrell Pittman, LMHCA
• Ryan Joseph Pittman, DNAP, CRNA
• Sherry Kathleen Pittman, ND, PHD
• Almetta Pitts

• Student in an Organized Health Care Education/Training Program in Seattle, WA
• Providers in Seattle, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.