KELYN N PITTMAN (NPI# 1417579541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417579541 |
| Entity Type | Individual |
| Full Name | KELYN N PITTMAN |
| Credential | MD |
| Practice Address |
3635 Vista Ave Saint Louis MO 63110-2539 |
| Mailing Address |
1402 S Grand Blvd Saint Louis MO 63104-1004 |
| Practice Telephone | 3145778850 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | XXXX | MS | Student, Health Care |
| Street Address |
3635 VISTA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790689 | Rajeswari Chintapalli | Anesthesiology | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2005-06-17 |
| 1932711389 | Breezy Summer Stanley | Nurse Practitioner | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-08-18 |
| 1235756842 | Trisha Ann Janis | Nurse Practitioner | 3635 Vista Ave, Saint Louis, MO 63110-2500 | 2020-06-30 |
| 1780207167 | Michelle Reale | Speech-Language Pathologist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-20 |
| 1801418926 | Jason Adam Horowitz | Student in an Organized Health Care Education/Training Program | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-12 |
| 1255953378 | Luke Andrew Momper | Student in an Organized Health Care Education/Training Program | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-12 |
| 1063034197 | Tyler Daniel Ragsdale | Student in an Organized Health Care Education/Training Program | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-12 |
| 1881216901 | Purav Sudhir Brahmbhatt | Student in an Organized Health Care Education/Training Program | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-12 |
| 1578185989 | Feras Kaid | Radiologic Technologist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-08 |
| 1659991032 | Susan Duffie | Physical Therapist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845908 | Ali Hamzehloo | Student in an Organized Health Care Education/Training Program | 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 | 2020-09-10 |
| 1114539137 | Brooke Marissa Tubbs | Student in an Organized Health Care Education/Training Program | 5135 Redstone Rd, Saint Louis, MI 48880-9602 | 2020-08-20 |
| 1508475245 | Irfan Yasin | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 | 2020-07-29 |
| 1457978231 | Katherine Coates | Student in an Organized Health Care Education/Training Program | 4534 Olive St Apt 306, Saint Louis, MO 63108-1869 | 2020-06-29 |
| 1184248437 | Catherine Gaines | Student in an Organized Health Care Education/Training Program | 362 S Maple Ave, Saint Louis, MO 63119-3824 | 2020-06-02 |
| 1922620947 | Nicole Werner | Student in an Organized Health Care Education/Training Program | 9669 Amona Ct, Saint Louis, MO 63123-6535 | 2020-05-13 |
| 1043831787 | Reed Welch | Student in an Organized Health Care Education/Training Program | 1501 Fairmount Ave, Saint Louis, MO 63139-3628 | 2020-05-05 |
| 1437779097 | Victoria Emanuelson | Student in an Organized Health Care Education/Training Program | 4048 Cleveland Ave Apt 3w, Saint Louis, MO 63110-3958 | 2020-04-23 |
| 1831727502 | Kiran Ashok Patel | Student in an Organized Health Care Education/Training Program | 4050 W Pine Blvd Apt 3311b, Saint Louis, MO 63108-3294 | 2020-03-30 |
| 1699301507 | Morgann Madill | Student in an Organized Health Care Education/Training Program | 4144 De Tonty St Apt 1d, Saint Louis, MO 63110-2511 | 2020-03-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on KELYN N PITTMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.