Jeffrey W Pittman Sr., NRCPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

136505 Issued in KS

Practice address

4516 E 48TH St
Kansas City, MO 64130-2231

Phone

(816) 304-6845

NPI assigned

Feb 9, 2019

Last updated

Nov 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1549670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1871058255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 E 48TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302231",
            "telephone_number": "816-705-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 E 48TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302231",
            "telephone_number": "816-304-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "NRCPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-09",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "KS",
            "license": "136505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Nicole Pittala
• Mary Elizabeth Pittala, RN
• David Michael Pittman, PHARMD
• Elizabeth Connor Pittman, ARNP, NNP
• Jada Lache Pittman
• Samantha Pittman, M.S., CCC-SLP
• Brittney Pitts, APRN
• Hannah Pitts, LMSW
• Michael Vincent Pizzato, ACE, ACE OS, NCFI
• Planned Parenthood Great Plains

• Phlebotomy Technician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Phlebotomy Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.