Jazzmin Pitts

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5821 W Maple Rd Ste 195
West Bloomfield, MI 48322-2275

Phone

(248) 831-0293

NPI assigned

Dec 31, 2019

Reactivated

Feb 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jazzmin Campbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Community Work Opportunities, LLC

  • Developmentally Disabled Services Day Training Agency
  • Canton, MI
  • NPI 1831384338
  NPD

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644105600000",
    "number": "1336788900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N LILLEY RD STE 108",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873695",
            "telephone_number": "734-981-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 W MAPLE RD STE 195",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222275",
            "telephone_number": "248-831-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "JAZZMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "deactivation_date": "2021-12-30",
        "reactivation_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAZZMIN",
            "last_name": "CAMPBELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Pio
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• Shelby Piper, RDH
• Umadevi Pittala, M.D.
• Jazmine Kiara Pittman
• Mori Anna Plackman, AU.D.
• Linda Sue Plasko, OTR
• Laura Plassey
• Platinum Plus Care Services
• PNG RX Consulting LLC

• Behavior Technician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.