Jaime Pitner

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN95184270 Issued in CA

Practice address

233 C Ave Apt F
Coronado, CA 92118-1444

Phone

(609) 709-6189

NPI assigned

May 13, 2020

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

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": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1245852201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 C AVE APT F",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181444",
            "telephone_number": "609-709-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 C AVE APT F",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181444",
            "telephone_number": "609-709-6189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 C Ave Apt F",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921181444",
            "country_code": "US",
            "telephone_number": "609-709-6189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITNER",
        "first_name": "JAIME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95184270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Pham, OD
• Alexander Phillips, DDS
• Kelsey Coria Phillips, DDS
• Dolores Anne Phin, D.C.
• Markay Picou-McKinney, MA
• Suzanne Margaret Popp, DDS
• Jorge Porras, M.D.
• Paul Potter
• Prema Sai Medical, P.C.
• Private Healthcare Facilities

• Registered Nurse in Coronado, CA
• Providers in Coronado, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.