Active NPI
Rava Pittman, FNP-BC
- Family Nurse Practitioner
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 866334
- Practice address
- 215 Katherine Dr Ste a
Flowood, MS 39232-9588 - Phone
- (601) 665-4162
- Fax
- (855) 830-3484
- NPI assigned
- Feb 20, 2009
- Last updated
- Sep 7, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 866334 | MS | Primary |
Addresses
Primary practice location
215 Katherine Dr Ste a
Flowood, MS 39232-9588
Mailing address
201A Magnolia St
Post Office Box 369
Vaiden, MS 39176-5644
Phone (662) 464-5470
Other practice location 1
201A Magnolia St
Vaiden, MS 39176-5644
Phone (662) 464-5470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341
1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 866334 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minor Med Care, LLC | Current | Accepting new patients | |
| Uppal Medical Center LLC | Current | Accepting new patients | |
| Minor Med Care, LLC | Current | Accepting new patients | |
| MDB Behavioral Health Services LLC | Current | Accepting new patients | |
| Greenwood Leflore Hospital | Current | Accepting new patients | |
| Patients Choice Medical Center of Humphreys County, LLC | Past | Accepting new patients | |
| Greenwood Leflore Hospital | Past | Accepting new patients |
Locations
1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373
1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149
215 Katherine Dr
#A
Jackson, MS 39232
2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Complete Care Rural Health Clinic
- Rural Health Clinic/Center
- Vicksburg, MS
- NPI 1669835310
-
- Primary Care Clinic/Center
- Jackson, MS
- NPI 1407968738
-
- Rural Health Clinic/Center
- Greenville, MS
- NPI 1558927905
-
- Rural Health Clinic/Center
- Raymond, MS
- NPI 1669575627
-
dba North Central Ms Specialty Clinic
- Gastroenterology Physician
- Greenwood, MS
- NPI 1689633950
-
- Critical Access Hospital
- Belzoni, MS
- NPI 1114951324
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AccentCare Home Health of Greenwood
- Home Health Agency
- Greenwood, MS
- NPI 1235270588
-
dba University of Mississippi Center - Grenada Psych
- Psychiatric Hospital
- Grenada, MS
- NPI 1083041917
-
dba University of Mississippi Center-Grenada
- General Acute Care Hospital
- Grenada, MS
- NPI 1558798603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1255571980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201A MAGNOLIA ST",
"address_2": "POST OFFICE BOX 369",
"city": "VAIDEN",
"state": "MS",
"postal_code": "391765644",
"telephone_number": "662-464-5470",
"fax_number": "662-464-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 KATHERINE DR STE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329588",
"telephone_number": "601-665-4162",
"fax_number": "855-830-3484"
}
],
"practiceLocations": [
{
"address_1": "201A Magnolia St",
"address_purpose": "LOCATION",
"city": "Vaiden",
"state": "MS",
"postal_code": "391765644",
"country_code": "US",
"telephone_number": "662-464-5470",
"fax_number": "662-464-0152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITTMAN",
"first_name": "RAVA",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "866334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.