HEATHER LIZBETH PITTMAN (NPI# 1548869050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548869050 |
| Entity Type | Individual |
| Full Name | HEATHER LIZBETH PITTMAN |
| Practice Address |
541 S Ham Ln Lodi CA 95242-3530 |
| Mailing Address |
2043 Cedar Ridge Dr Stockton CA 95207-4672 |
| Practice Telephone | 2092248940 |
| Practice Fax Number | 2092245076 |
| Mailing Telephone | 2093614733 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851899777 | Heather Kay Pittman | Behavior Technician | 475 W 260 N, Orem, UT 84057-1970 | 2018-01-25 |
| 1629372933 | Heather Pittman | Massage Therapist | 908 Nw 14th Ave, Portland, OR 97209-2704 | 2010-12-29 |
| 1558571075 | Heather C Pittman | Pediatrics | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2007-05-23 |
| Street Address |
541 S HAM LN |
| City | LODI |
| State | CA |
| Zip Code | 95242-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164466132 | Frank F Chen | Dentist | 541 S Ham Ln, Lodi, CA 95242-3530 | 2006-06-16 |
| 1790386100 | Rajvir Kaur | Licensed Vocational Nurse | 541 S Ham Ln, Lodi, CA 95242-3530 | 2020-11-03 |
| 1477151843 | Mackenzie Rick Evans | Counselor | 541 S Ham Ln, Lodi, CA 95242-3530 | 2020-10-16 |
| 1548385644 | Delta Radiology, Inc. | Specialist | 541 S Ham Ln, Suite B, Lodi, CA 95242-3530 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154871416 | Life Line Centers of California Inc | Counselor | 856 N Sacramento St Ste H, Lodi, CA 95240-1251 | 2016-10-11 |
| 1740631985 | Alexis Cortez-bautista | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2016-06-29 |
| 1467814301 | Michael Compton | Counselor | 441 S. Ham Lane, Suite A, Lodi, CA 95242-3525 | 2016-03-21 |
| 1649419649 | Claudia Irene Fender | Counselor | 1300 W Lodi Ave Ste G2, Lodi, CA 95242-3037 | 2009-02-13 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1477151843 | Mackenzie Rick Evans | Counselor | 541 S Ham Ln, Lodi, CA 95242-3530 | 2020-10-16 |
| 1003421314 | Esperanza Gonzales | Counselor | 541 S Ham Ln Ste A&b, Lodi, CA 95242-3530 | 2020-09-14 |
| 1558996900 | Veronica Marie Alfalla | Counselor | 441 S Ham Ln, Lodi, CA 95242-3525 | 2020-03-05 |
| 1306492822 | Abigail Gillett | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2019-08-12 |
| 1043866627 | Jennifer Preap | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2019-08-10 |
| Find all providers in LODI | ||||
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| 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.