Individual provider Active NPI

Ulda Veneziani

  • Gerontology Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1053945550
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP145094 Issued in TX
Practice address
1900 Oates Dr Ste 138
Mesquite, TX 75150-6802
Phone
(972) 270-7600
Fax
(972) 270-9968
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP145094 TX Primary

Addresses

Primary practice location

1900 Oates Dr Ste 138
Mesquite, TX 75150-6802

Mailing address

3004 Jeremes LNDG
Plano, TX 75075-1544
Phone (214) 677-7583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP145094TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Medical Services, PA CurrentSince Mar 1, 2020 Accepting new patients

Locations

1900 Oates Dr
Ste 138
Mesquite, TX 75150
Phone (972) 270-0041

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1053945550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 JEREMES LNDG",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750751544",
            "telephone_number": "214-677-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OATES DR STE 138",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506802",
            "telephone_number": "972-270-7600",
            "fax_number": "972-270-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEZIANI",
        "first_name": "ULDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP145094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.