Active NPI
Terry P Pitts, ARNP
- Nurse Practitioner
- Brooksville, FL
National Provider Identifier
1629166459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP754992
- Practice address
- 11319 Cortez Blvd
Brooksville, FL 34613-5407 - Phone
- (352) 597-0907
- Fax
- (352) 597-2243
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- 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 | ARNP754992 | FL | Primary |
Addresses
Primary practice location
11319 Cortez Blvd
Brooksville, FL 34613-5407
Mailing address
PO Box 5719
Spring Hill, FL 34611-5719
Phone (352) 597-0907
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430021997 | Other | RRMC | |
| 302033900 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1629166459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5719",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346115719",
"telephone_number": "352-597-0907",
"fax_number": "352-597-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11319 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135407",
"telephone_number": "352-597-0907",
"fax_number": "352-597-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "TERRY",
"middle_name": "P",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP754992",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "430021997",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302033900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.