Marie Cotton Vassiliadis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95026076 Issued in CA

Practice address

4343 Niagara Ave
San Diego, CA 92107-2925

Phone

(208) 599-4288

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mvassiliadis117936@sharphealthcare.direct-ci.com

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.

• Lynne Michelle Champagne, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1952412181
  Medicare reassignment
• Puja Chitkara M.D. a Medical Corporation

  • Rheumatology Physician
  • Chula Vista, CA
  • NPI 1700202207
  NPD

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1871378091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 NIAGARA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 NIAGARA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072925",
            "telephone_number": "208-599-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSILIADIS",
        "first_name": "MARIE",
        "middle_name": "COTTON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Vasquez, LVN
• Rylee Vassart
• Chere Vassell, RN, MSN
• Tamika Jo Vasser, B.S PSY.
• Nazanin Vassighi, N.D.
• Jennifer Marie Vassiliou
• Prashant Vaswani, MD
• Yvonne Eleanor Vaucher, M.D.
• Diana Vaughan-Jones, RN, PHN
• Freda Kay Vaughan, PHD

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.