Debra Wittmaier, RN, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

960 Issued in TN

Practice address

764 Old Chattanooga Pike SW
Cleveland, TN 37311

Phone

(423) 303-1959

NPI assigned

Jul 12, 2006

Last updated

Aug 23, 2018By 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

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Registered Nurse

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

• DX Mso, PLLC

  dba Doctors Express

  • Urgent Care Clinic/Center
  • Chattanooga, TN
  • NPI 1225381148
  Medicare reassignment
• Life Bridges, Inc

  • Family Medicine Physician
  • Cleveland, TN
  • NPI 1700928876
  Medicare reassignment

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1730114356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 OLD CHATTANOOGA PIKE SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373118566",
            "telephone_number": "423-303-1959",
            "fax_number": "423-303-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 OLD CHATTANOOGA PIKE SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "423-303-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMAIER",
        "first_name": "DEBRA",
        "credential": "RN, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Logan Winn, D.D.S.
• Alan Winter, D.PH.
• Teresa Melanie Winter, R.PH.
• Paige Wisebaker
• Marissa Lyn Withrow
• Steven D Wolf, D.O.
• Jeffry Herman Wolfenden
• Kailee Womac
• Taylor A Womack, FNP-C
• Women's Institute for Specialized Health, PLLC

• Physician Assistant in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.