Sarah Morales Vitenas, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP08222 Issued in LA

Practice address

9775 Florida Blvd
Suite F
Walker, LA 70785-7801

Phone

(225) 243-7716

Fax

(225) 243-7754

NPI assigned

May 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric 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.

• Children'S International L.L.C.

  • Pediatrics Physician
  • Slidell, LA
  • NPI 1073620498
  NPD (past)
• Children'S International, LLC

  • Primary Care Clinic/Center
  • Walker, LA
  • NPI 1407387624
  NPD (past)

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

{
    "created_epoch": "1431734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471651200000",
    "number": "1235517756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 HIGHWAY 190",
            "address_2": "SUITE F",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "70785",
            "telephone_number": "225-243-7716",
            "fax_number": "225-243-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 FLORIDA BLVD",
            "address_2": "SUITE F",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707857801",
            "telephone_number": "225-243-7716",
            "fax_number": "225-243-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITENAS",
        "first_name": "SARAH",
        "middle_name": "MORALES",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-16",
        "last_updated": "2016-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "LA",
            "license": "RN134320",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP08222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2395122",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Personal Care Services LLC
• Trinity Personal Care Services LLC
• Village Pharmacy
• Village Pharmacy 2
• Village Pharmacy at Walker
• Tejas N Vora, DPT
• Wal-Mart Stores East LP
• Wal-Mart Stores Louisiana, LLC
• Kathy Jean Wales, RN
• Walgreen Co

• Pediatric Nurse Practitioner in Walker, LA
• Providers in Walker, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.