Provider Demographics
NPI:1548327042
Name:PITTMAN, APRIL R (AUD)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:R
Last Name:PITTMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 STATESVILLE BLVD
Mailing Address - Street 2:UNIT 3
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2280
Mailing Address - Country:US
Mailing Address - Phone:704-633-6775
Mailing Address - Fax:704-633-6799
Practice Address - Street 1:644 STATESVILLE BLVD
Practice Address - Street 2:UNIT 3
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2280
Practice Address - Country:US
Practice Address - Phone:704-633-6775
Practice Address - Fax:704-633-6799
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2013-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6424231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC198616OtherMEDCOST
NC7001531Medicaid
NC144RKOtherBLUE CROSS BLUE SHIELD
NCP00603504OtherRAILROAD MEDICARE
NC7644961OtherAETNA
NC2699914Medicare PIN