Active NPI
Ulda Veneziani
- Gerontology Nurse Practitioner
- Mesquite, TX
National Provider Identifier
1053945550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP145094
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP145094 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Medical Services, PA | Current | 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.
-
- Clinic/Center
- Mesquite, TX
- NPI 1063596534
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.