Shauna Southard Pittman

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

008721 Issued in TN

Practice address

9501 Farrell Road
Dewitt Healthcare Network
Ft Belvoir, VA 22060

Phone

(703) 805-0694

NPI assigned

May 9, 2008

Last updated

May 9, 2008By the provider in NPPES

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

Other names 1

• Dr. Shauna Lynn Southard Former name

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1699942508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 FERNCLIFF CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221533001",
            "telephone_number": "703-455-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 FARRELL ROAD",
            "address_2": "DEWITT HEALTHCARE NETWORK",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "703-805-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "SHAUNA",
        "middle_name": "SOUTHARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "008721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "SOUTHARD",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mimi Thanh-Uyen Phan, PHARMD
• Jennifer Rachelle Pickinpaugh-Inocencio, D.O.
• Emily Pierce, MD
• Melissa Mae Pietras, PA-C
• Elizabeth F Pillsbury, LICSW
• David Pitts Jr., DO
• Andrew Plummer, M.D.,M.P.H.
• Marie E Pollard, MPAS, PA/C
• Chae-Im Santos Pontius, M.D.
• Lauren Elizabeth Potts, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.