Kelly B. Pittman, M.S. CFY, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

11517 Kanis Rd.
Little Rock, AR 72211

Phone

(501) 993-7171

Fax

(501) 223-8075

NPI assigned

Jul 19, 2012

Last updated

Jul 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Therapy Services of Little Rock

  • Contractor
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  • NPI 1093848095
  NPD (past)
• The Therapy Company

  • Contractor
  • Little Rock, AR
  • NPI 1760696462
  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1609121375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11714 PLEASANT RIDGE DR.",
            "address_2": "#301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11517 KANIS RD.",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211",
            "telephone_number": "501-993-7171",
            "fax_number": "501-223-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "KELLY",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "M.S. CFY, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Piron
• Clinton Pitman, MHPP
• Alyson Rachelle Pittman, LPC
• Asa Paul Pittman, CRNA
• Ben Adam Pittman, D.C.
• Laurie Pittman
• Priscilla Pittman, MHPP
• Shante R Pittman
• Tanika Lashawn Pittman, MNSC
• Chasity Rose Pitts

• Speech-Language Pathologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.