Jeryl Lynn Pittman, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

3003278 Issued in KY

Practice address

3190 Irvine Rd
Richmond, KY 40475-9031

Phone

(859) 369-7099

Fax

(859) 369-0073

NPI assigned

Jun 15, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in KY

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 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Family Care Clinic PLLCGroup PAC ID 4385974518, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Richmond Hospital, Richmond, KY, CCN 180049

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jpittman@familyclinic.azalea.phimailbox.com

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.

• Family Care Clinic PLLC

  • Family Medicine Physician
  • Richmond, KY
  • NPI 1679053581
  Medicare reassignment Care Compare group Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc.

  • General Acute Care Hospital
  • Richmond, KY
  • NPI 1568452290
  Care Compare affiliation

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1891990479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 IRVINE RD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759031",
            "telephone_number": "859-369-7099",
            "fax_number": "859-369-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 IRVINE RD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759031",
            "telephone_number": "859-369-7099",
            "fax_number": "859-369-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JERYL",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3003278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Management, LLC
• Cassie M Pinson, RPH
• Shawna Pinson
• Renee Thompson Pirtle, O.T.
• George Michael Pittman, MD
• Christopher M Plummer, PHARMD
• Katarina Estelle Porter
• Freedom Dawn Powell, BS
• Rachel M Powell, NP
• Rebecca Charlotte Powell, M.A.CCC-SLP

• Primary Care Nurse Practitioner in Richmond, KY
• Providers in Richmond, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.