Individual provider Active NPI

Shante R Pittman

  • Phlebotomy Technician
  • Little Rock, AR
National Provider Identifier
1346900990
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
8509 W Markham St # 56091
Little Rock, AR 72205-2432
Phone
(501) 680-2223
Fax
(501) 500-5732
NPI assigned
Dec 22, 2021
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X NU Primary

Addresses

Primary practice location

8509 W Markham St # 56091
Little Rock, AR 72205-2432

Mailing address

PO Box 56091
Little Rock, AR 72215-6091
Phone (501) 680-2223

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address insightexpressinc@insightexpressco.com

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

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1346900990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56091",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722156091",
            "telephone_number": "501-680-2223",
            "fax_number": "501-500-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8509 W MARKHAM ST # 56091",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052432",
            "telephone_number": "501-680-2223",
            "fax_number": "501-500-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "SHANTE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insightexpressinc@insightexpressco.com",
            "affiliation": "N",
            "address_1": "8509 W Markham St # 56091",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722052432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.