MEDICARE: MICHELLE PITTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	19321	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992198238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE PITTS

Provider Business Mailing Address
First Line	:	2200 21ST AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-4942
Country	:	US
Telephone Number	:	615-678-4171
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 STEAM PLANT RD STE 200
Second Line	:
City	:	GALLATIN
State	:	TN
Zip	:	37066-3027
Country	:	US
Telephone Number	:	615-442-3774
Fax Number	:	615-452-3894

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2015
Last Update Date	:	05/06/2019

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Directions to “ MICHELLE PITTS ” Practice Location

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