Individual provider Active NPI

Julianna Marie Vaeth, FNP-C

  • Family Nurse Practitioner
  • Havre de Grace, MD
National Provider Identifier
1376389122
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R214765 Issued in MD
Practice address
251 Lewis LN Ste 201
Havre de Grace, MD 21078-3753
Phone
(410) 939-4477
NPI assigned
Jul 2, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 R214765 MD Primary

Addresses

Primary practice location

251 Lewis LN Ste 201
Havre de Grace, MD 21078-3753

Mailing address

251 Lewis LN Ste 201
Havre de Grace, MD 21078-3753
Phone (410) 939-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913001792 MD Practitioner - Nurse Practitioner 3072053297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRS Biondo and Sim PAGroup PAC ID 4082681689, 4 clinicians

Practice addresses (Care Compare)

251 Lewis LN
Suite 201
Havre de Grace, MD 21078-3753
Phone 4436166236317

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: julianna.vaeth.1@32478.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1376389122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 LEWIS LN STE 201",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783753",
            "telephone_number": "410-939-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LEWIS LN STE 201",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783753",
            "telephone_number": "410-939-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAETH",
        "first_name": "JULIANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R214765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.