Ekaterina Versace, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R209076 Issued in MD

Practice address

4B North Ave Ste 302
Bel Air, MD 21014-2304

Phone

(443) 819-3172

NPI assigned

May 21, 2021

Last updated

May 21, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Veni Vidi Vici Treatment Services, LLC.

  • Methadone Clinic
  • Bel Air, MD
  • NPI 1386128387
  NPD (past)

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1962077156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4B NORTH AVE STE 302",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142304",
            "telephone_number": "443-819-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4B NORTH AVE STE 302",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142304",
            "telephone_number": "443-819-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSACE",
        "first_name": "EKATERINA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R209076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING STATE OF MD",
            "identifier": "R209076",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veni Vidi Vici Treatment Services, LLC.
• Veni Vidi Vici Treatment Services, LLC.
• Veni Vidi Vici Treatment Services, LLC.
• Kathryn Rose Verbrugge, D.D.S
• Bonnie Veronda
• Melinda Renee Vertlieb, PHARMD
• Tracy C Videon, PT, ATC
• Amy Vile
• Jenna Villalobos-Obledo, LMSW
• Yvonne Villani, CMF

• Family Nurse Practitioner in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.