John Carter Pitman Jr.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

18521 E Queen Creek Rd Ste 105-247
Queen Creek, AZ 85142-5827

Phone

(928) 259-5055

NPI assigned

Sep 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1194495747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-247",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-247",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425827",
            "telephone_number": "928-259-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITMAN",
        "first_name": "JOHN",
        "middle_name": "CARTER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elevatedcareaz@gmail.com",
            "affiliation": "N",
            "address_1": "18521 E Queen Creek Rd Ste 105-247",
            "city": "Queen Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851425827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.