Iliana I Vermillion, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN216175 Issued in GA

Practice address

3215 Campus Loop Rd NW
Kennesaw, GA 30144-3227

Phone

(470) 578-7937

Fax

(470) 578-9004

NPI assigned

Aug 9, 2016

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

State licenses

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1174077028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 CAMPUS LOOP RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 CAMPUS LOOP RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443227",
            "telephone_number": "470-578-7937",
            "fax_number": "470-578-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILLION",
        "first_name": "ILIANA",
        "middle_name": "I",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Jeanette Vaughn, M.ED., LPC, NCC
• Kimeka Renay Vayens, NP
• Yasmin Vaz
• Marilyn Veal, ED.S, M.S.
• Bailey Venable, RBT
• Marie Verrilli, ATC
• Hannah Viers, FNP-C
• Mridula Vinjamuri, M.D.
• Farzana A. Virani, O.D.
• Visio Educational Consulting LLC

• Family Nurse Practitioner in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.