Active NPI
Celina Beatriz Gonzalez-Pittman, CNM
- Advanced Practice Midwife
- Detroit, MI
National Provider Identifier
1841464567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 4704245084
- Practice address
- 4201 Saint Antoine St
Suite 4C
Detroit, MI 48201-2153 - Phone
- (313) 745-4525
- Fax
- (313) 745-4399
- NPI assigned
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 4704245084 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Suite 4C
Detroit, MI 48201-2153
Mailing address
1560 E Maple Rd
Suite 400 - Credentialing
Troy, MI 48083-1138
Phone (313) 745-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704245084 | MI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Past | Accepting new patients |
Interoperability endpoints
- celina.gonzalez-pittman.1@19711.direct.athenahealth.com
- cgonzale@direct.dmc.org
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.
-
dba Wayne State University Physician Group
- Social Worker
- Livonia, MI
- NPI 1154360402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425168000000",
"number": "1841464567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE RD",
"address_2": "SUITE 400 - CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831138",
"telephone_number": "313-745-4525",
"fax_number": "313-745-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "SUITE 4C",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-4525",
"fax_number": "313-745-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-PITTMAN",
"first_name": "CELINA",
"middle_name": "BEATRIZ",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2015-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "4704245084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2015; 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.