Shelly Ann Vinatieri, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A256257 Issued in CA

Practice address

85 Sierra Park Rd.
Suite E
Mammoth Lakes, CA 93546

Phone

(760) 934-2551

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932246402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N MOUNTAIN VIEW RD",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142119",
            "telephone_number": "760-873-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SIERRA PARK RD.",
            "address_2": "SUITE E",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "93546",
            "telephone_number": "760-934-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINATIERI",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "A256257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittaney Bich-Hanh Khong Vargas, MD
• Kwinuah Kelly John Vega
• Amy Catherine Vevoda, D.C.
• Andres Villalpando
• Sandra Janet Villalpando, LCSW
• Vons Companies Inc
• Jennie Walker, MD
• Jennifer Watson, RN
• Bartlett White, PHYSICIAN ASSISTANT
• Clare Michelle White, FNP-C

• Family Nurse Practitioner in Mammoth Lakes, CA
• Providers in Mammoth Lakes, 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 Jul 8, 2007; 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.