Individual provider Active NPI

Rebecca Lynn-Pittman Pomaville, FNP-C

  • Family Nurse Practitioner
  • Clinton TWP, MI
National Provider Identifier
1942653753
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704329507 Issued in MI
Practice address
43361 Commons Dr
Clinton TWP, MI 48038-1109
Phone
(586) 745-3006
NPI assigned
Jul 16, 2016
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704329507 MI Primary
Other Technician 247200000X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

43361 Commons Dr
Clinton TWP, MI 48038-1109

Mailing address

38635 Warwickshire Dr
Sterling Heights, MI 48312-1164
Phone (586) 718-3997

Other practice location 1

34537 Forman Dr
Sterling Heights, MI 48310-5341
Phone (586) 718-3997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20250410002428 MI Practitioner - Nurse Practitioner 5991229916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RPM Care Coordination PCGroup PAC ID 6002205606, 42 clinicians

Practice addresses (Care Compare)

120 N Washington SQ
Suite 300
Lansing, MI 48933-1658
Phone (800) 985-5596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RPM Care Coordination, PC CurrentSince Dec 14, 2025 Accepting new patients
Reza Kahnamouei MD PLLC CurrentSince Mar 1, 2025 Accepting new patients
Reza Kahnamouei MD PLLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

507 S Douglas St
Fl 3
El Segundo, CA 90245

43361 Commons Dr
Clinton Twp, MI 48038
Phone (586) 286-2620

120 N Washington Sq
Ste 300
Lansing, MI 48933
Phone (317) 510-0758

Interoperability endpoints

  • Direct secure messaging: rpomaville898442@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1942653753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38635 WARWICKSHIRE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121164",
            "telephone_number": "586-718-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43361 COMMONS DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381109",
            "telephone_number": "586-745-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34537 Forman Dr",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483105341",
            "country_code": "US",
            "telephone_number": "586-718-3997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMAVILLE",
        "first_name": "REBECCA",
        "middle_name": "LYNN-PITTMAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-16",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704329507",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.