Active NPI
Brenda J Pittman, NP
- Nurse Practitioner
- Lexington, KY
National Provider Identifier
1609884287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4221P
- Practice address
- 3300 Tates Creek Rd
Lexington, KY 40502-3408 - Phone
- (859) 266-2126
- Fax
- (859) 266-5353
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4221P | KY | Primary |
Addresses
Primary practice location
3300 Tates Creek Rd
Lexington, KY 40502-3408
Mailing address
12201 Bluegrass Pkwy
Louisville, KY 40299-2361
Phone (502) 568-7364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78012085 | Medicaid | KY |
Other names 1
- Brenda J Terpin
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4221P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Clinic, PLLC | Past | Accepting new patients | |
| Paul E McLaughlin | Past | Accepting new patients | |
| Southeastern Emergency Services P C | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Mt Sterling, KY
- NPI 1285655167
-
- Family Medicine Physician
- Mt Sterling, KY
- NPI 1881736817
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1609884287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 BLUEGRASS PKWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992361",
"telephone_number": "502-568-7364",
"fax_number": "502-568-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 TATES CREEK RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405023408",
"telephone_number": "859-266-2126",
"fax_number": "859-266-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "BRENDA",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "4221P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78012085",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "TERPIN",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.