Active NPI
Michelle Pittman
- Ambulatory Care Registered Nurse
- Los Angeles, CA
National Provider Identifier
1639690803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- 534776
- Practice address
- 2829 South Grand Ave.
H. Claude Hudson CHC
Los Angeles, CA 90007 - Phone
- (213) 699-7072
- NPI assigned
- Jun 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 534776 | CA | Primary |
Addresses
Primary practice location
2829 South Grand Ave.
H. Claude Hudson CHC
Los Angeles, CA 90007
Mailing address
H. Claude Hudson CHC
2829 South Grand Ave.
Los Angeles, CA 90007
Phone (213) 699-7072
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 534776 | CA | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498608000000",
"number": "1639690803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "H. CLAUDE HUDSON CHC",
"address_2": "2829 SOUTH GRAND AVE.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90007",
"telephone_number": "213-699-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 SOUTH GRAND AVE.",
"address_2": "H. CLAUDE HUDSON CHC",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90007",
"telephone_number": "213-699-7072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-28",
"last_updated": "2017-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "CA",
"license": "534776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.