Active NPI
Carol Ann Pitts
- Specialist
- Prescott Valley, AZ
National Provider Identifier
1548407091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12281
- Practice address
- 8412 Sommer Dr
Prescott Valley, AZ 86314 - Phone
- (928) 775-9047
- NPI assigned
- Jan 20, 2009
- Last updated
- Jan 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 12281 | AZ | Primary |
Addresses
Primary practice location
8412 Sommer Dr
Prescott Valley, AZ 86314
Mailing address
440 N Washington Ave
Prescott, AZ 86301-2642
Phone (928) 443-1991
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 |
|---|---|---|---|
| 12281 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1548407091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N WASHINGTON AVE",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863012642",
"telephone_number": "928-443-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8412 SOMMER DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "86314",
"telephone_number": "928-775-9047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "12281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
- Physician Business Serivces, LLC (Prescott Valley Primary & Urgent Care Clinic)
- Physician Business Services, LLC (Prescott Valley Primary & Urgent Care Clinic)
- Kristin Pifer, P.T.
- Michael J Pinnell, PSY.D.
- Joshua John Pitterle
- Playworks Occupational Therapy, PLLC
- Deborah J Plotkin, FNP
- Christopher Scott Podbielski, PHARMD
- Karyn Anne Poole, MSN, RN, PHN
- Lauren Kathleen Postula, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.