Shane Michael Pittman, EMT-M

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

License

3251-2416-8453 Issued in IN

Practice address

8520 Allison Pointe Blvd Ste 223
PMB 99753
Indianapolis, IN 46250

Phone

(317) 525-2520

NPI assigned

Jul 14, 2025

Last updated

Oct 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1558252924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 ALLISON POINTE BLVD STE 223",
            "address_2": "PMB 99753",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 ALLISON POINTE BLVD STE 223",
            "address_2": "PMB 99753",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-525-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "SHANE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "EMT-M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "30018103",
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "IN",
            "license": "3521-2416-8453",
            "primary": false
        },
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "IN",
            "license": "3251-2416-8453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica H Pittman, M.D.
• Joyce Ann Pittman, NP CWOCN
• Kiarra Pittman
• Luke Pittman, MD MBA
• Lynn A Pittman, DO
• Susan Marie Pittman, LCSW
• Christopher H Pitts, PHARMD
• Douglas E Pitts, MD
• Erika L Pitts, LMHC-A
• Jessica Lynn Pitts

• Independent Duty Medical Technicians in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Independent Duty Medical Technicians in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.