Active NPI
Andrea Pittman
- Case Manager/Care Coordinator
- Crab Orchard, WV
National Provider Identifier
1306516067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- AP00941927
- Practice address
- 1295 Robert C. Byrd Dr.
Crab Orchard, WV 25827 - Phone
- (304) 255-5828
- Fax
- (304) 255-5772
- NPI assigned
- Sep 15, 2021
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AP00941927 | WV | Primary |
Addresses
Primary practice location
1295 Robert C. Byrd Dr.
Crab Orchard, WV 25827
Mailing address
PO Box 757
Crab Orchard, WV 25827-0757
Phone (304) 255-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00941927 | WV | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1306516067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 757",
"city": "CRAB ORCHARD",
"state": "WV",
"postal_code": "258270757",
"telephone_number": "304-255-5800",
"fax_number": "304-255-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 ROBERT C. BYRD DR.",
"city": "CRAB ORCHARD",
"state": "WV",
"postal_code": "25827",
"telephone_number": "304-255-5828",
"fax_number": "304-255-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WV",
"license": "AP00941927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crab Orchard, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.