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

Mr. Shane Michael Pittman, EMT-M

Individual provider Independent Duty Medical Technicians · NPI 1558252924

Mr. Shane Michael Pittman, EMT-M is an Independent Duty Medical Technicians in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025
Specialties on file
3

Practice location Address checks out

8520 Allison Pointe Blvd Ste 223 Pmb 99753
Indianapolis, IN 46250
Phone: (317) 525-2520
Show map & directions

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

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X · Licence 3251-2416-8453 (IN)
Independent Duty Corpsman Taxonomy 1710I1002X · Licence 3521-2416-8453 (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 30018103 (IN)

Record details

NPI number1558252924
Entity typeIndividual (Type 1)
GenderMale
Credentials EMT-M
Sole proprietorNo
NPI enumeratedJuly 14, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025