Individual provider Active NPI

Danielle Stephanie Vittatoe, FNP-BC

  • Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1750936076
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26409 Issued in TN
Practice address
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5016
Phone
(865) 977-5565
NPI assigned
Aug 4, 2019
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26409 TN Primary
Registered Nurse 163W00000X 0000205318 TN

Addresses

Primary practice location

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5016

Mailing address

1624 Old Niles Ferry Rd
Maryville, TN 37803-5632
Phone (865) 310-8877

Other names 1

  • Mrs. Danielle Stephanie Vittatoe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200121000344 TN Practitioner - Nurse Practitioner 9032544069 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Winbigler Medical, PLLCGroup PAC ID 4789049156, 15 clinicians

Practice addresses (Care Compare)

827 W Broadway Ave
Maryville, TN 37801-4717
Phone (865) 336-6888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000205318TNMDRegistered Nurse
26409TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Nurse Practitioner CurrentSince Nov 1, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Winbigler Medical, PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

Interoperability endpoints

  • Direct secure messaging: dvittatoe872801@direct.ghs.myhfn.org

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, 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": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1750936076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 OLD NILES FERRY RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035632",
            "telephone_number": "865-310-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045016",
            "telephone_number": "865-977-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITTATOE",
        "first_name": "DANIELLE",
        "middle_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "26409",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000205318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "VITTATOE",
            "middle_name": "STEPHANIE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.