Individual provider Active NPI

Gemma Fioritto I, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, MI
National Provider Identifier
1902204126
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704212599 Issued in MI
Practice address
6566 Squirrel RDG
Washington, MI 48094-3528
Phone
(586) 337-1916
NPI assigned
Dec 22, 2014
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704212599 MI Primary

Addresses

Primary practice location

6566 Squirrel RDG
Washington, MI 48094-3528

Mailing address

6566 Squirrel RDG
Washington, MI 48094-3528
Phone (586) 337-1916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20150302000987 MI Practitioner - Nurse Practitioner 2466778832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Psychological Services IncGroup PAC ID 8921197807, 5 clinicians

Practice addresses (Care Compare)

47818 Van Dyke Ave
Shelby Township, MI 48317-3373
Phone (586) 323-3620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704212599MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Viva Wellness PLLC Current Accepting new patients
United Psychological Services Inc CurrentSince Feb 9, 2001 Accepting new patients
Clementine Counseling PastSince Feb 9, 2001 Accepting new patients

Locations

47818 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 323-3260

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.

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1902204126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6566 SQUIRREL RDG",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943528",
            "telephone_number": "586-337-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6566 SQUIRREL RDG",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943528",
            "telephone_number": "586-337-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORITTO",
        "first_name": "GEMMA",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704212599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MI

Sources for this page

Verify at the official NPI Registry.