Individual provider Active NPI

Tiara Christine Pitts

  • Family Nurse Practitioner
  • Oxon Hill, MD
National Provider Identifier
1255980728
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R194246 Issued in MD
Practice address
6196 Oxon Hill Rd Ste 610
Oxon Hill, MD 20745-3112
Phone
(301) 669-1870
NPI assigned
Sep 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R194246 MD Primary

Addresses

Primary practice location

6196 Oxon Hill Rd Ste 610
Oxon Hill, MD 20745-3112

Mailing address

6902 Mountain Lake PL
Capitol Heights, MD 20743-4611
Phone (301) 351-6506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302001572 DC Practitioner - Nurse Practitioner 1658787437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Clinic, IncGroup PAC ID 6204722614, 33 clinicians

Practice addresses (Care Compare)

7676 New Hampshire Ave
Suite 220a
Takoma Park, MD 20912-7514
Phone (301) 431-2972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R194246MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinic, Inc. Family CurrentSince Feb 1, 2021 Accepting new patients
Community Clinic, Inc CurrentSince Feb 1, 2021 Accepting new patients

Locations

7615 Ora Glen Dr
Greenbelt, MD 20770
Phone (240) 650-0811

8630 Fenton St
Ste 1204
Silver Spring, MD 20910
Phone (240) 499-2636

8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250

8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1255980728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 MOUNTAIN LAKE PL",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207434611",
            "telephone_number": "301-351-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD STE 610",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453112",
            "telephone_number": "301-669-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "TIARA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-08",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.