Individual provider Active NPI

Jeffrey Scott Pittman, NP

  • Family Nurse Practitioner
  • Cibolo, TX
National Provider Identifier
1689290223
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
648662 Issued in TX
Practice address
232 Brite Rd Ste 117
Cibolo, TX 78108-3998
Phone
(210) 247-2248
NPI assigned
Jun 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 648662 TX Primary

Addresses

Primary practice location

232 Brite Rd Ste 117
Cibolo, TX 78108-3998

Mailing address

31111 Oakview Rd
Bulverde, TX 78163-3801
Phone (210) 643-9321

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
648662TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afcc-Affinity Family Care Clinic Family CurrentSince Jun 22, 2020 Accepting new patients
Hillside Primary Care PLLC PastSince Jun 21, 2020 Accepting new patients

Locations

232 Brite Rd
Ste 117
Cibolo, TX 78108
Phone (210) 247-2248

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1689290223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31111 OAKVIEW RD",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781633801",
            "telephone_number": "210-643-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BRITE RD STE 117",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083998",
            "telephone_number": "210-247-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "648662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cibolo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.