Organization Active NPI

Kerry Pitter Enterprises LLC

  • Durable Medical Equipment & Medical Supplies
  • Rancho Cordova, CA
National Provider Identifier
1295478261
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KERRY PITTER ENTERPRISES LLC
Practice address
10685 Coloma Rd Apt 39
Rancho Cordova, CA 95670-4030
Phone
(310) 721-7299
NPI assigned
Apr 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Caitlin Heislman
Title
Owner
Phone
(310) 721-7299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10685 Coloma Rd Apt 39
Rancho Cordova, CA 95670-4030

Mailing address

10685 Coloma Rd Apt 39
Rancho Cordova, CA 95670-4030
Phone (310) 721-7299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1295478261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10685 COLOMA RD APT 39",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704030",
            "telephone_number": "310-721-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10685 COLOMA RD APT 39",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704030",
            "telephone_number": "310-721-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY PITTER ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "HEISLMAN",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-721-7299"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.