MR. SHANE MICHAEL PITTMAN EMT-M NPI 1558252924

NPI Information

  • NPI: 1558252924
  • Provider Name: MR. SHANE MICHAEL PITTMAN, EMT-M
  • Classification: Military Health Care Provider - 1710I1003X
  • Specialization: Independent Duty Medical Technicians
  • Entity Type: Individual
  • Address: 8520 ALLISON POINTE BLVD STE 223
    PMB 99753
    INDIANAPOLIS, IN
    ZIP 46250
  • Phone: (317) 525-2520

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NPI Details

MR. Shane Michael Pittman, EMT-M is an independent duty medical technicians military health care provider in Indianapolis, IN. The provider is an Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. MR. Shane Michael Pittman, EMT-M NPI is 1558252924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8520 ALLISON POINTE BLVD STE 223
PMB 99753
INDIANAPOLIS, IN
ZIP 46250
Phone: (317) 525-2520

The enumeration date for this NPI number is 7/14/2025 and was last updated on 10/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11710I1003XMilitary Health Care ProviderIndependent Duty Medical Technicians3251-2416-8453INDIANAYes
21710I1002XMilitary Health Care ProviderIndependent Duty Corpsman3521-2416-8453INDIANANo
3207P00000XEmergency Medicine30018103INDIANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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