1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

PRISTINE BAY PITTMAN DO
NPI 1629823265
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since April 18, 2024PECOS Enrolled
917 W WALNUT ST, JOHNSON CITY, TN 37604(423) 439-6464(423) 439-7118 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pristine Bay Pittman Do NPPES

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

PRISTINE BAY PITTMAN DO (NPI 1629823265) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629823265
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePRISTINE BAY PITTMANCredential: DO
Location Address917 W WALNUT STJohnson City, TN 37604-6527
Mailing Address917 W Walnut StJohnson City, TN 37604-6527 · (423) 439-6464 · Fax (423) 439-7118
Phone(423) 439-6464
Fax(423) 439-7118
Sole ProprietorNo
Enumeration DateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1629823265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
917 W WALNUT ST, Johnson City, TN 37604
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pristine Bay Pittman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKITA MARIE THOMPSON
Social Worker (Clinical)
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
MEDICAL EDUCATION ASSISTANCE CORPORATION
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
AUSTIN B HASH DO
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
DR. PAIGE MCCLEAR DO
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
JIM L WILSON M.D.
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
JOYCE ANNE TROXLER MD
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
JAMES D HOLT M.D.
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
DR. BENJAMIN DANIEL WHITFIELD D.O. M.S.W.
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464

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 Pristine Pittman's NPI number?

The NPI number for Pristine Pittman is 1629823265. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Where is Pristine Pittman located?

Pristine Pittman practices at 917 W Walnut St, Johnson City, TN 37604. The listed phone number is (423) 439-6464.

What is Pristine Pittman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pristine Pittman enrolled in Medicare?

Yes. Pristine Pittman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pristine Pittman was last updated on April 18, 2024. 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.