Jennifer Vitti Haddad, BSN, RN, MSN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN2270244 Issued in MA

Practice address

320 Bolton St
Marlborough, MA 01752-3988

Phone

(508) 460-9670

NPI assigned

Aug 25, 2014

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

Other names 1

• Miss Jennifer Vitti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1437559614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BOLTON ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523988",
            "telephone_number": "508-460-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BOLTON ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523988",
            "telephone_number": "508-460-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "JENNIFER",
        "middle_name": "VITTI",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2270244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VITTI",
            "prefix": "MISS",
            "credential": "BSN, RN, MSN, CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joselyn Perla Guzman
• Julieann Guzman
• Shakira Marie Guzman
• Jasmine Gwin
• Akayjai Mae Hackney, BT
• Lauren Hagen, BCBA, LABA
• Emily Haight
• Brandon Hainline
• Martina Hairston
• Courtney Hale, MA

• Pediatric Nurse Practitioner in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.