Jenny L Vittitow

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

407 West Main Street
Gaylord, MI 49734

Phone

(989) 732-6448

NPI assigned

Oct 7, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1982245338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 W BRANCH DR",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619278",
            "telephone_number": "989-312-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WEST MAIN STREET",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "49734",
            "telephone_number": "989-732-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITTITOW",
        "first_name": "JENNY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvittitow@northernfamily.org",
            "affiliation": "Y",
            "affiliationName": "Northern Family Intervention Services, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "407 West Main Street",
            "city": "Gaylord",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Case Manager/Care Coordinator in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.