Ianna Lizbeth Quattrone, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704290304 Issued in MI

Practice address

1816 Richardson Dr
Reidsville, NC 27320-5434

Phone

(336) 634-3902

Fax

(336) 634-3933

NPI assigned

Oct 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFFHAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Triad Medicine and Pediatric Associates, PLLC

  • Family Medicine Physician
  • Reidsville, NC
  • NPI 1982615282
  NPD (past)
• Kidz 1St, P.L.L.C.

  • Pediatrics Physician
  • Rochester Hills, MI
  • NPI 1073685988
  NPD (past)
• Serenity Doctors PC

  • Pediatrics Physician
  • Bloomfield Hills, MI
  • NPI 1811658578
  NPD (past)
• Serenity Pediatrics

  • Pediatrics Physician
  • Bloomfield Hills, MI
  • NPI 1669922977
  NPD (past)

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1831601038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 WALTON BLVD STE 3",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091471",
            "telephone_number": "248-651-8197",
            "fax_number": "248-651-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 RICHARDSON DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205434",
            "telephone_number": "336-634-3902",
            "fax_number": "336-634-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2370 Walton Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483091471",
            "country_code": "US",
            "telephone_number": "248-651-8197",
            "fax_number": "248-651-5643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUATTRONE",
        "first_name": "IANNA",
        "middle_name": "LIZBETH",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5011336",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704290304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Presley, LCMHC
• Ashley Cauble Presnell, AGPCNP
• Priority Care Transport LLC
• Professional Vision Care, OD, PLLC
• Bobby Nelson Pruitt III, PHARMD
• Erika Simone Quinlan, M.S NCC
• Kristi Brim Rakes, LCSW
• Shuvon Blackwell Rankin, PMHNP, FNP
• Richard William Raspet, RPH
• Larry Dale Ray, M.D.

• Pediatric Nurse Practitioner in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.