NICCI M. PITTMAN (NPI# 1912932039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912932039 |
Entity Type | Individual |
Full Name | NICCI M. PITTMAN |
Credential | M.D. |
Practice Address |
3085 Lakecrest Cir Lexington KY 40513-1707 |
Practice Telephone | 8592588600 |
Practice Fax Number | 8592588610 |
Mailing Telephone | 8592588600 |
Mailing Fax Number | 8592588610 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2016-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 31824 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | MEDICARE LAB GROUP | 4000501 | 01 |
KY | MEDICAID LAB GROUP | 37903705 | 01 |
KY | RR MEDICARE GROUP | CB5773 | 01 |
KY | RR MEDICARE PIN | 080140770 | 01 |
KY | 64877566 | 05 |
Street Address |
3085 LAKECREST CIR |
City | LEXINGTON |
State | KY |
Zip Code | 40513-1707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114927662 | Heather N Cecil | Nurse Practitioner | 3085 Lakecrest Cir, Lexington, KY 40513-1707 | 2005-07-27 |
1740812908 | Mandi K Williams | Nurse Practitioner | 3085 Lakecrest Cir, Lexington, KY 40513-1707 | 2020-02-06 |
1598395212 | Molly Ann Eads | Physician Assistant | 3085 Lakecrest Cir, Lexington, KY 40513-1707 | 2020-01-22 |
1588143150 | Mary Oaks | Physician Assistant | 3085 Lakecrest Cir, Lexington, KY 40513-1707 | 2018-08-14 |
1386150621 | Carlatesha Keann Flippin | Nurse Practitioner | 3085 Lakecrest Cir, Lexington, KY 40513-1707 | 2017-12-22 |
1538698691 | Lynn Chen | Nurse Practitioner | 3085 Lakecrest Cir, Lexington, KY 40513-1707 | 2017-06-12 |
1275947640 | Dana Barnett | Internal Medicine | 3085 Lakecrest Cir, Lexington, KY 40513-1707 | 2014-06-13 |
1003142852 | David C Atkins | Physician Assistant | 3085 Lakecrest Cir, Lexington, KY 40513-1707 | 2009-10-29 |
1588898654 | Sherry Lynn Hill | Physician Assistant | 3085 Lakecrest Cir, Suite 100, Lexington, KY 40513-1707 | 2009-05-05 |
1528222031 | Stephanie Marie Hunt | Pediatrics | 3085 Lakecrest Cir, Lexington, KY 40513-1707 | 2008-07-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861991531 | Angela C Dehart, Lcsw | Social Worker | 1040 Monarch St Ste 110, Lexington, KY 40513 | 2018-02-07 |
1831623313 | Dustin Mayrand | Student in an Organized Health Care Education/Training Program | 3141 Beaumont Centre Cir Ste 300, Lexington, KY 40513 | 2017-04-12 |
1992253249 | Apollo Laboratory Science and Technology Services | Clinical Medical Laboratory | 3191 Beaumont Centre Cir Ste 150, Lexington, KY 40513 | 2016-09-15 |
1457751174 | Kentucky One Health | Community/Behavioral Health | 3251 Beaumont Circle, Saint Joseph Healthy Lifestyle Center, Lexington, KY 40513 | 2014-08-29 |
1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
1346524329 | Katherina Terhune | Social Worker | 1000 Monarch Street, #250, Lexington, KY 40513 | 2011-10-07 |
1619206539 | Beamont Chiropractic LLC | Chiropractor | 3160 Beaumont Circle, Suite 130, Lexington, KY 40513 | 2009-12-24 |
1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
1033368931 | Katy M Breeze | Pharmacist | #2573 Palomar Centre Dr, Rite Aid Pharmacy, Lexington, KY 40513 | 2008-09-16 |
1356485890 | Muscle & Rom Testing LLC | Specialist | 3726 Military Pike, Lexington, KY 40513 | 2007-02-17 |
Find all providers in zip 40513 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
1922624774 | Cindy Viers | Family Medicine | 310 Oxford Rd, Lexington, OH 44904-1039 | 2020-06-17 |
1992338818 | Sarah Angelina Clem | Family Medicine | 2251 War Admiral Way Ste 125, Lexington, KY 40509-2546 | 2020-02-19 |
1073144481 | Bluegrass Primary Health Care Center, Inc. | Family Medicine | 224 N Martin Luther King Blvd Ste 200, Lexington, KY 40507-2133 | 2020-02-04 |
1952955056 | Preferred Injury Physicians LLC | Family Medicine | 2700 Old Rosebud Rd Ste 330, Lexington, KY 40509-8630 | 2019-07-26 |
1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
1881258085 | Mallory Jade Guagenti | Family Medicine | 3399 Tates Creek Rd Ste 230, Lexington, KY 40502-7404 | 2019-04-24 |
1699230540 | Novant Medical Group. Inc. | Family Medicine | 4705 S Highway 150, Lexington, NC 27295-5203 | 2019-02-05 |
Find all providers in LEXINGTON |
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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.