Active NPI
David Vitrano
- Technician/Technologist
- Metairie, LA
National Provider Identifier
1790203396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- 13084
- Practice address
- 4241 Veterans Memorial Blvd Suite 100
Metairie, LA 70006 - Phone
- (504) 459-3248
- NPI assigned
- Sep 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 13084 | LA | Primary |
Addresses
Primary practice location
4241 Veterans Memorial Blvd Suite 100
Metairie, LA 70006
Mailing address
901 Joe Yenni Blvd. B15
Kenner, LA 70065
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13084 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504396800000",
"number": "1790203396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 JOE YENNI BLVD. B15",
"city": "KENNER",
"state": "LA",
"postal_code": "70065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4241 VETERANS MEMORIAL BLVD SUITE 100",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70006",
"telephone_number": "504-459-3248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITRANO",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-03",
"last_updated": "2017-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "LA",
"license": "13084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.