Individual provider Active NPI

John Ventimiglia, N.P.

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1457589848
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN192494 Issued in GA
Practice address
6 Highland Park LN NE
Atlanta, GA 30306-3447
Phone
(404) 981-5565
Fax
(678) 809-3274
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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 RN192494 GA Primary

Addresses

Primary practice location

6 Highland Park LN NE
Atlanta, GA 30306-3447

Mailing address

6 Highland Park LN NE
Atlanta, GA 30306-3447
Phone (404) 981-5565

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN192494GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Impact Health Centers, Inc. Past Accepting new patients
Edgewood Medical Center Inc Past Accepting new patients
Positive Impact Health Centers Inc PastSince Jan 1, 2017 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1457589848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HIGHLAND PARK LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063447",
            "telephone_number": "404-981-5565",
            "fax_number": "678-809-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HIGHLAND PARK LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063447",
            "telephone_number": "404-981-5565",
            "fax_number": "678-809-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTIMIGLIA",
        "first_name": "JOHN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN192494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.