Niesha Gwendolyn Pitts

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

8400 Bustleton Ave Ste 6
Philadelphia, PA 19152-1918

Phone

(215) 728-4930

Fax

(215) 728-4980

NPI assigned

Oct 23, 2017

Sex

Female

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

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1285145722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 N 62ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513207",
            "telephone_number": "215-359-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 BUSTLETON AVE STE 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521918",
            "telephone_number": "215-728-4930",
            "fax_number": "215-728-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "NIESHA",
        "middle_name": "GWENDOLYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2021-08-31",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chakerra L Pitts
• Cornelius Dupree Pitts, PHARMD
• Hannah Elizabeth Pitts
• Joseph Pitts
• Kimberly Ann Pitts, BS
• Shymita Pitts
• Pius Homes LLC
• Samuel A Pius, DIRECTOR/OWNER
• Jenine Marie Pivovar, OTR
• William D Piwnica-Worms, MD

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.