Stephanie Vietinghoff, MSN AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

11001436 Issued in FL

Practice address

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1585

Phone

(954) 735-6000

NPI assigned

Apr 15, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• ENT and Allergy Associates of Florida, LLC

  • Otolaryngology Physician
  • Boca Raton, FL
  • NPI 1164473120
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1003479189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 NW 46TH CT",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515424",
            "telephone_number": "954-873-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131585",
            "telephone_number": "954-735-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIETINGHOFF",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "MSN AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11001436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Garden Alf, Inc.
• Victoria Gardens Home Alf Inc
• Victory Chiropractic, Inc.
• Andre Vicuna Blanco, BCBA
• Ramon Vidal, MD
• Stephanie Franchesca Villadamigo, ARNP
• Ruben Villarreal, DMD
• Juan Villarroel, MD
• Jason G Volbrecht, PTA
• Lori P Voss, PA-C

• Acute Care Nurse Practitioner in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.