Individual provider Active NPI

Reeta Vetrivel, NURSE PRACTITONER

  • Acute Care Nurse Practitioner
  • Santa Maria, CA
National Provider Identifier
1083193221
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP95008356 Issued in CA
Practice address
1510 E Main St Ste 101
Santa Maria, CA 93454-4826
Phone
(805) 612-5583
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP95008356 CA Primary

Addresses

Primary practice location

1510 E Main St Ste 101
Santa Maria, CA 93454-4826

Mailing address

1510 E Main St Ste 101
Santa Maria, CA 93454-4826
Phone (805) 612-5583

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
NP95008356CAMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1083193221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E MAIN ST STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544826",
            "telephone_number": "805-612-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E MAIN ST STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544826",
            "telephone_number": "805-612-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETRIVEL",
        "first_name": "REETA",
        "credential": "NURSE PRACTITONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP95008356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.