Mary Jo Pitts, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3008334 Issued in KY

Practice address

2406 West Broadway
Jencare Neighborhood Medical Center West Broadway, LLC
Louisville, KY 40211

Phone

(502) 775-1211

Fax

(502) 775-1221

NPI assigned

Mar 17, 2015

Last updated

Mar 17, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Applegate Health Services, Inc

  dba AppleGate Recovery Louisville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, KY
  • NPI 1326500059
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  KY, Nurse Practitioner

  Medicare reassignment NPD
• Applegate Health Services, Inc.

  dba AppleGate Recovery Jasper

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jasper, AL
  • NPI 1891494415
  NPD
• Applegate Health Services, Inc

  dba AppleGate Recovery Bowling Green

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bowling Green, KY
  • NPI 1073075792
  NPD (past)
• Applegate Health Services, Inc

  dba AppleGate Recovery of Crestview Hills

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Crestview Hills, KY
  • NPI 1437676921
  NPD (past)
• Home Medical Visits, Inc

  • Clinic/Center
  • Holiday, FL
  • NPI 1639121080

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1891188785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 WEST BROADWAY",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40211",
            "telephone_number": "502-775-1211",
            "fax_number": "502-775-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 WEST BROADWAY",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40211",
            "telephone_number": "502-775-1211",
            "fax_number": "502-775-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "MARY JO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008334",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1124444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Pittenger, CSW
• Cody Bruce Pittman, MSN, APRN. PMHNP-BC
• Gregory L Pittman, MD
• Christina Pitts
• Donald Cicero Pitts, LMFT
• Nakristia Alayne Pitts, LCSW
• Rachel Pitzen
• Rylee Alexa Pitzer, CF-SLP
• Crista Pizer, ATC
• James E Pizzolato, PSYD

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.