Vitiello Primary Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

VITIELLO PRIMARY CARE PLLC

Practice address

21300 N John Wayne Pkwy Ste 108
Maricopa, AZ 85139-8964

Phone

(480) 389-9419

NPI assigned

Apr 3, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Joann Vitiello, NPNPI 1861734139

Title

Owner

Phone

(520) 568-5943

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Joann H Vitiello, F.N.P

  • Family Nurse Practitioner
  • Maricopa, AZ
  • NPI 1861734139
  Medicare reassignment Care Compare group NPD Authorized official
• Naomie Duvelsaint

  • Physician Assistant
  • Royal Palm Beach, FL
  • NPI 1003693581

  AZ

  Medicare reassignment Care Compare group
• Kristina M Trafelet, FNP-C

  • Nurse Practitioner
  • Tucson, AZ
  • NPI 1881163046

  Family

  Medicare reassignment NPD

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1780325944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44559 W SEDONA TRL",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398895",
            "telephone_number": "480-389-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY STE 108",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398964",
            "telephone_number": "480-389-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITIELLO PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "VITIELLO",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-568-5943",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808402",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Vergara, P.T.
• Roger Lawrence Vesper, O.D.
• Vidal Medical Office PLC
• Gabriella Viera, DPT
• Vision Lakes Consulting Group
• Joann H Vitiello, F.N.P
• Mariahao Vo, PHARMD
• Margaret Ann Voorhies, MED COUNSELING
• Vu Eye Care Specialists, LLC
• Latasha Monique Wager, IBCLC

• Family Nurse Practitioner in Maricopa, AZ
• Providers in Maricopa, 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 Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.