Shenise Renee Pittman

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN9487623 Issued in FL

Practice address

6618 Azalea Park Rd
Jacksonville, FL 32259-7049

Phone

(850) 631-0854

NPI assigned

May 15, 2024

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1659120269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 AZALEA PARK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322597049",
            "telephone_number": "850-631-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 AZALEA PARK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322597049",
            "telephone_number": "850-631-0854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16616 Palm Royal Dr Apt 739",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336472652",
            "country_code": "US",
            "telephone_number": "850-631-0854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "SHENISE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9487623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Pitocchelli
• Nancy Pitruzzello, DNP
• Jeanette Pittelkow
• Brookes K Pittman, ARNP
• Gregory Pittman
• James Ryan Pitts, IDC
• Patricia Ceasar Pitts
• Victoria Luiza Pitts
• Christina Pius
• Helena Pizzarro

• Home Health Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.