Individual provider Active NPI

Carmella Josephine Venturini, FNP-C

  • Family Nurse Practitioner
  • Lake Orion, MI
National Provider Identifier
1295496479
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704326409 Issued in MI
Practice address
3226 Hidden Timber Dr Ste a
Lake Orion, MI 48359-1598
Phone
(248) 499-6630
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704326409 MI Primary

Addresses

Primary practice location

3226 Hidden Timber Dr Ste a
Lake Orion, MI 48359-1598

Mailing address

1346 Tiverton Trail Dr
Rochester Hills, MI 48306-4074
Phone (586) 242-6514

Other practice location 1

1346 Tiverton Trail Dr
Rochester Hills, MI 48306-4074
Phone (586) 242-6514

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
4704326409MIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1295496479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 TIVERTON TRAIL DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064074",
            "telephone_number": "586-242-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 HIDDEN TIMBER DR STE A",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591598",
            "telephone_number": "248-499-6630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1346 Tiverton Trail Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483064074",
            "country_code": "US",
            "telephone_number": "586-242-6514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTURINI",
        "first_name": "CARMELLA",
        "middle_name": "JOSEPHINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704326409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.