Active NPI
Janet M Pitlyk, PNP
- Pediatric Nurse Practitioner
- St. Charles, MO
National Provider Identifier
1669516696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN081404
- Practice address
- 2740 Highway 94 South
Suite a
St. Charles, MO 63303 - Phone
- (636) 936-0497
- Fax
- (636) 441-4398
- NPI assigned
- Feb 15, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN081404 | MO | Primary |
Addresses
Primary practice location
2740 Highway 94 South
Suite a
St. Charles, MO 63303
Mailing address
446 Foote Ave
Saint Louis, MO 63119-1503
Phone (314) 968-3774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN081404 | MO | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- jpitlyk230@directc.mercy.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669516696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 FOOTE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191503",
"telephone_number": "314-968-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 HIGHWAY 94 SOUTH",
"address_2": "SUITE A",
"city": "ST. CHARLES",
"state": "MO",
"postal_code": "63303",
"telephone_number": "636-936-0497",
"fax_number": "636-441-4398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITLYK",
"first_name": "JANET",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "RN081404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.