Carrie Marie Pitcock

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

License

201712910212 Issued in CA

Practice address

6235 Josie St
Atwater, CA 95301-9106

Phone

(209) 761-6307

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• TLC Non-Emergency Medical Transportation

  • Transportation Broker
  • Atwater, CA
  • NPI 1043731052
  NPD Authorized official

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760912539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 JOSIE ST",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953019106",
            "telephone_number": "209-761-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 JOSIE ST",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953019106",
            "telephone_number": "209-761-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITCOCK",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "CA",
            "license": "201712910212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon Pettis
• Phoenix Collective LLC
• Alexandra Elizabeth Pierce, LCSW
• Timothy Stephen Pierce, LMFT
• Samantha Pineda Flores
• Andrea Plascencia
• Daniela Porras
• Casey Renee Porter
• Senobio Ceballos Posadas
• Sarah Posey

• Transportation Broker in Atwater, CA
• Providers in Atwater, CA by specialty
• Transportation Broker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.