Olean Denise Pittman
Homemaker in Mathiston, MS. Individual provider (NPI-1).
NPI number1104533348
StatusActive
Last updated in NPPESApr 10, 2023
Details
- NPI
- 1104533348
- Entity type
- Individual (NPI-1)
- Name
- Olean Denise Pittman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2022
- Certification date
- Apr 10, 2023
- Last updated
- Apr 10, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | 002482 | MS | Yes |
| 251E00000X | Home Health | 002482 | MS | |
| 376J00000X | Homemaker | 3996 | MS |
Practice location
24224 Ms Highway 15Mathiston, MS 39752-6876
Phone 662-263-3194
Mailing address
24224 Ms Highway 15Mathiston, MS 39752-6876
Phone 662-263-3194
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