Amy Vezza, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

VP-005236-B Issued in PA

Practice address

90 Beaver Dr
Suite 211D
Du Bois, PA 15801-2440

Phone

(814) 375-6000

Fax

(814) 375-9503

NPI assigned

Aug 1, 2006

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

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.

• DRMG Opthalmology

  • Ophthalmology Physician
  • Clearfield, PA
  • NPI 1639316300
  NPD (past)
• Dubois Regional Medical Center

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657
  NPD (past)
• Dubois Regional Medical Group PC

  • Ophthalmology Physician
  • Philipsburg, PA
  • NPI 1811191208
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1124035456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158511282",
            "telephone_number": "814-375-6000",
            "fax_number": "814-375-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR",
            "address_2": "SUITE 211D",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012440",
            "telephone_number": "814-375-6000",
            "fax_number": "814-375-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEZZA",
        "first_name": "AMY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "VP-005236-B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Elizabeth Varacallo
• Brittany Veltri, CRNP
• Sonja Venter, DO
• Nicole Lynn Verdill, R. N.
• Marissa Verrico, PA-C
• Cheyenne Vissari, CRNP
• Thomas Joseph Vissari, CRNP
• Allison Vollmer
• Gregory Volpe, MSW
• Shannon D. Wadding, CRNA

• All providers in Du Bois, PA
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.