MARY AMANDA AMANDA PITTMAN
NPI 1609238518
Nurse Practitioner - Family in Edwardsville, IL

Q: What is Mary Amanda Pittman's NPI number?

The NPI number for Mary Amanda Pittman is 1609238518. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Mary Amanda Pittman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 22, 2016

STUDENT SUCCESS CENTER ROOM 0222, EDWARDSVILLE, IL 62026(618) 650-2842(618) 650-5839 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2023, Aug 22, 2022, Mar 22, 2016 (3 updates tracked since 2016).

On this page

About Mary Amanda Amanda Pittman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY AMANDA AMANDA PITTMAN (NPI 1609238518) is an individual family provider in Edwardsville, Illinois, licensed in Illinois (277002173) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1609238518

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY AMANDA AMANDA PITTMAN

Location AddressSTUDENT SUCCESS CENTER ROOM 0222Edwardsville, IL 62026-1166

Mailing Address7503 S Ridge CtMaryville, IL 62062-6442 · (618) 841-8767

Phone(618) 650-2842

Fax(618) 650-5839

Sole ProprietorNo

Enumeration DateMarch 22, 2016

Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration

NPPES CertifiedOctober 23, 2023

✔ NPI 1609238518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 277002173

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 277002173 (IL)

STUDENT SUCCESS CENTER ROOM 0222, Edwardsville, IL 62026

Open in Google Maps ↗

Other Identifiers 1

Other277002173IL · Idfpr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Amanda Pittman's NPI number?

The NPI number for Mary Amanda Pittman is 1609238518. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Mary Amanda Pittman located?

Mary Amanda Pittman practices at Student Success Center Room 0222, Edwardsville, IL 62026. The listed phone number is (618) 650-2842.

What is Mary Amanda Pittman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Mary Amanda Pittman accept?

Health plans from UnitedHealthcare list Mary Amanda Pittman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Amanda Pittman was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.