Charity Pittman, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-156517 Issued in AL

Practice address

504 McCurdy Ave S #6
Rainsville, AL 35986

Phone

(256) 638-9161

NPI assigned

Jan 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Family First Medicine LLC

  • Family Medicine Physician
  • Rainsville, AL
  • NPI 1194905075
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment NPD
• Family First Medicine LLC

  • Family Medicine Physician
  • Scottsboro, AL
  • NPI 1780192765
  NPD (past)

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1346992385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 COUNTY ROAD 1004",
            "city": "GERALDINE",
            "state": "AL",
            "postal_code": "35974",
            "telephone_number": "256-605-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MCCURDY AVE S #6",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "35986",
            "telephone_number": "256-638-9161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Veterans Drive",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "35769",
            "country_code": "US",
            "telephone_number": "256-912-2183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "CHARITY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-156517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lambert Moncus, DMD
• Northeast Alabama Health & Wellness, LLC
• Oxymed, LLC
• Kristine Lyn Penley, NP
• Phillip L Fortner DMD LLC
• Amanda Poe, CRNP
• Tyson Scott Rainer, FNP-C
• Rainsville Chiropractic Medicine, Inc
• Rainsville Compounding Pharmacy, LLC
• Rainsville Drugs, Inc

• Family Nurse Practitioner in Rainsville, AL
• Providers in Rainsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.