Kimberly R. Pitts D O P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L7850 Issued in TX

Legal business name

KIMBERLY R. PITTS D O P A

Practice address

2246 Nall St
Port Neches, TX 77651-4208

Phone

(409) 722-4400

Fax

(409) 722-4409

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Miss Kimberly Ruth Pitts, D.O.

Title

Physician

Phone

(409) 722-4400

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1932220274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514208",
            "telephone_number": "409-722-4400",
            "fax_number": "409-722-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514208",
            "telephone_number": "409-722-4400",
            "fax_number": "409-722-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY R. PITTS D O P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "409-722-4400",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0027KW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1778375-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Port Neches, TX
• Providers in Port Neches, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.