Individual provider Active NPI

Rebecca L Pitotti, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1912274861
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
759976 Issued in TX
Practice address
7616 Culebra Rd
Ste. 130
San Antonio, TX 78251-1476
Phone
(210) 509-2603
Fax
(210) 334-2861
NPI assigned
Nov 21, 2011
Last updated
Jul 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 759976 TX Primary

Addresses

Primary practice location

7616 Culebra Rd
Ste. 130
San Antonio, TX 78251-1476

Mailing address

1140 Almond Tree LN
Ste 306
Las Vegas, NV 89104-3233
Phone (702) 657-3873

Other names 1

  • Ms. Rebecca L Penhall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
759976TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: rebecca.pitotti.1@29379.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1912274861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 ALMOND TREE LN",
            "address_2": "STE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043233",
            "telephone_number": "702-657-3873",
            "fax_number": "702-636-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 CULEBRA RD",
            "address_2": "STE. 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511476",
            "telephone_number": "210-509-2603",
            "fax_number": "210-334-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITOTTI",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "759976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PENHALL",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.