NPIMap

Individual provider Active NPI

Emily Williams Venatta, FNP-C, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Grand Bay, AL
National Provider Identifier
1437501475
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
VENA-FZV4ZH Issued in MS
Practice address
6270 Gaston Loop Rd W
Grand Bay, AL 36541-3478
Phone
(205) 299-2955
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X VENA-FZV4ZH MS Primary
Family Nurse Practitioner 363LF0000X VENA-FZV4ZH MS

Addresses

Primary practice location

6270 Gaston Loop Rd W
Grand Bay, AL 36541-3478

Mailing address

6270 Gaston Loop Rd W
Grand Bay, AL 36541-3478
Phone (205) 299-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161031001894 MS Practitioner - Nurse Practitioner 7517245269 Reassigns benefits to 3 organizations
I20250409000064 AL Practitioner - Nurse Practitioner 7517245269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kray Medical, LLCGroup PAC ID 1254870025, 2 clinicians
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians
Care Doc LLCGroup PAC ID 7719223957, 21 clinicians

Practice addresses (Care Compare)

Mobile, AL 36619
Phone (261) 753-4008

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2465

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 236-3872

Hospital & facility affiliations

  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
VENA-FZV4ZHMSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caredoc LLC CurrentSince Dec 15, 2024 Accepting new patients
App of Mississippi Ed, LLC CurrentSince Sep 1, 2019 Accepting new patients
Kray Medical, LLC CurrentSince Mar 1, 2025 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 18, 2016 Accepting new patients
Care Doc LLC Current Accepting new patients

Locations

13750 US Highway 90
Grand Bay, AL 36541
Phone (251) 753-4008

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

Organizations & group practices 7

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.

Hospital & facility affiliations 60

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

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1437501475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 GASTON LOOP RD W",
            "city": "GRAND BAY",
            "state": "AL",
            "postal_code": "365413478",
            "telephone_number": "205-299-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 GASTON LOOP RD W",
            "city": "GRAND BAY",
            "state": "AL",
            "postal_code": "365413478",
            "telephone_number": "205-299-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENATTA",
        "first_name": "EMILY",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "VENA-FZV4ZH",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "VENA-FZV4ZH",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Bay, AL

Sources for this page

Verify at the official NPI Registry.