Jessica Vettraino, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704281372 Issued in MI

Practice address

96 Barrington Rd
Bloomfield Hills, MI 48302-0600

Phone

(248) 770-4417

NPI assigned

Aug 19, 2016

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1697
• Direct secure messaging: jvettraino1156586@direct.hfhs.org

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.

• Glendale Neurological Associates P C

  • Neurology Physician
  • Farmington Hills, MI
  • NPI 1639134414
  Medicare reassignment NPD
• Michigan Neurology Associates PC

  • Neurology Physician
  • St Clair Shores, MI
  • NPI 1861498362
  Medicare reassignment NPD
• Michigan Neurology Associates, P.C.

  • Ambulatory Surgical Clinic/Center
  • Clinton TWP, MI
  • NPI 1518247295
  NPD
• West Michigan Aas LLC

  • Anesthesiology Physician
  • Novi, MI
  • NPI 1295149227
  NPD

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1932654811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 BARRINGTON RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020600",
            "telephone_number": "248-770-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 BARRINGTON RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020600",
            "telephone_number": "248-770-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTRAINO",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704281372",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704281372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Marie Vaughan, LLP
• Kristine Marie Vazzano, PHD
• Veena Govila MD PC
• Hedyeh Veiseh
• Jason T Vettraino, DDS
• Jean L Viaud-Murat, RN, CLC
• Khachorndej Vibhasiri, M.D
• Sasinee Vibhasiri, MD
• Sarah Elizabeth Vigiletti
• Village Pharmacy at the Market Inc

• Primary Care Nurse Practitioner in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.