Vip Wellcare PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

VIP WELLCARE PLLC

Practice address

29455 N Cave Creek Rd Ste 118-520
Cave Creek, AZ 85331-3245

Phone

(602) 888-1420

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Billingsley, FNPNPI 1447405196

Title

Owner

Phone

(602) 885-2495

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer K. Billingsley, FNP

  • Family Nurse Practitioner
  • Cave Creek, AZ
  • NPI 1447405196
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1679290977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29455 N CAVE CREEK RD STE 118-520",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313245",
            "telephone_number": "602-888-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29455 N CAVE CREEK RD STE 118-520",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313245",
            "telephone_number": "602-888-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP WELLCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-885-2495",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngan Kim Tran, PHARMD
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• Family Nurse Practitioner in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.