Jamie Pietila

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

418 Kenilworth Ave
Pontiac, MI 48342-1840

Phone

(248) 795-0333

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Circle of Life Home Care LLC

  • Assisted Living Facility
  • Waterford, MI
  • NPI 1487194882
  NPD (past)

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1326588088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 KENILWORTH AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421840",
            "telephone_number": "248-795-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 KENILWORTH AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421840",
            "telephone_number": "248-795-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETILA",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Phillips
• Phoenix Residential Services
• Physical Therapy Management Mi LLC
• Rahul Pidikiti, MD
• Delince Pierre-Louis
• Kimberly Ann Pike-Moesta, NURSE PRACTITIONER
• Priscilla Cossette Pino
• William Dale Pinter, R.PH
• Dana Pitcock, CRNA
• Rachel Rita Pizzurro, LMSW, CCM

• Adult Companion in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Adult Companion in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.