Marion Elizabeth Pittman, M.ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13817 Issued in FL

Practice address

609 5TH St SW
Live Oak, FL 32064-2216

Phone

(386) 362-3231

NPI assigned

Sep 15, 2014

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 Education

State licenses

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1629479183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OHIO AVE S UNIT 177",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320647707",
            "telephone_number": "386-362-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 5TH ST SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320642216",
            "telephone_number": "386-362-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "MARION",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann S Payne, NP-C
• Kelbey Perry
• Samantha M Perry
• Melissa Fay Peters, ARNP
• Kailey Denise Pickels, APRN
• Ashleigh Denson Pitzer
• Jose Alvaro Ponce II
• Aubrey Mae Presley
• Publix Super Markets, Inc
• David S Radko, MS

• Speech-Language Pathologist in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.