Active NPI
Danielle Stephanie Vittatoe, FNP-BC
- Nurse Practitioner
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26409
- Practice address
- 907 E Lamar Alexander Pkwy
Maryville, TN 37804-5016 - Phone
- (865) 977-5565
- NPI assigned
- Aug 4, 2019
- Last updated
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000205318 | TN | MD | Registered Nurse |
| 26409 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee Ed, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Nurse Practitioner | Current | Accepting new patients |
| Winbigler Medical, PLLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Alcoa, TN
- NPI 1538768205
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
Nurse Practitioner
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
Nurse Practitioner, TN
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Blount Memorial Hospital
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.