Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laurel Ann Pittillo, PMHNP-BC

Individual provider Counselor · NPI 1275399297

Laurel Ann Pittillo, PMHNP-BC is a Nurse Practitioner in San Angelo, Texas. Qualified in 2023, 3 years ago. Practices with Shannon Clinic, a 547-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2024
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone: (325) 747-2225
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1153993 (TX)
Counselor Taxonomy 101Y00000X · Licence 1153993 (TX)

Record details

NPI number1275399297
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 27, 2024
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Angelo