Active NPI
James F Pittman, PHD ARNP
- Primary Care Nurse Practitioner
- Spokane, WA
National Provider Identifier
1740474071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP30003001
- Practice address
- 9103 N Division St
Spokane, WA 99218-1251 - Phone
- (509) 467-6060
- Fax
- (509) 467-6518
- NPI assigned
- Aug 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP30003001 | WA | Primary |
Addresses
Primary practice location
9103 N Division St
Spokane, WA 99218-1251
Mailing address
9103 N Division St
Spokane, WA 99218-1251
Phone (509) 467-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9617986 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100708000403 | WA | Practitioner - Nurse Practitioner | 8729070875 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1740474071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9103 N DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181251",
"telephone_number": "509-467-6060",
"fax_number": "509-467-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9103 N DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181251",
"telephone_number": "509-467-6060",
"fax_number": "509-467-6518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "JAMES",
"middle_name": "F",
"credential": "PHD ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-29",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP30003001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9617986",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.