JODI VILLANTI


Address: 30 Harrison St, Suite 460, Johnson City, NY 13790-2161
Phone: 6077638101

JODI VILLANTI (NPI# 1316342959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316342959
Entity Type Individual
Full Name JODI VILLANTI
Credential FNP
Practice Address 30 Harrison St
Suite 460
Johnson City
NY 13790-2161
Mailing Address 346 Grand Ave
Johnson City
NY 13790-2580
Practice Telephone 6077638101
Practice Fax Number 6077638049
Mailing Telephone 6077638101
Mailing Fax Number 6077638049
Enumeration Date 2014-10-24
Last Update Date 2015-08-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 339144 NY Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
339144 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 30 HARRISON ST
SUITE 460
City JOHNSON CITY
State NY
Zip Code 13790-2161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932105566 Roman Thomas Pachulski Internal Medicine 30 Harrison St, Suite 250, Johnson City, NY 13790-2161 2005-06-28
1811488455 Siddharth Dalal Internal Medicine 30 Harrison St, Johnson City, NY 13790 2018-05-18
1306277017 Kara Spalik Nurse Practitioner 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 2013-12-05
1033459292 Jerome H Rosenstein Md Pllc Specialist 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 2013-02-26
1881946788 Karen Lee Dunham Physician Assistant 30 Harrison St, Suite 455, Johnson City, NY 13790-2161 2012-10-03
1225325921 Kimberly Hageman Merrill Nurse Practitioner 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 2011-07-01
1023252293 Michail Vitellas Internal Medicine 30 Harrison St, Suite 250, Johnson City, NY 13790 2009-04-30
1063659241 J Richard Cunningham Surgery 30 Harrison St, Suite 455, Johnson City, NY 13790-2161 2009-01-09
1821240011 Shilpa Sambidi Internal Medicine 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 2008-10-21
1417154857 Peter Babatunde Ojo Surgery 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 2007-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578107645 Thomas William Sorber Occupational Therapist 33 Harrison St, Johnson City, Johnson City, NY 13790 2019-11-01
1326534116 Silver Linings Golden Memory Care Clinic/Center 4416 Watson Blvd, Johnson City, NY 13790 2018-07-05
1508308545 Irene Mukeli Nzasi Registered Nurse 156 Corliss Ave Suite 107, Johnson City, NY 13790 2016-11-08
1053867754 Tabitha Rae Toman Physical Therapist 34 Harrison St, Johnson City, NY 13790 2016-09-01
1235685066 Dianne Brunner Physical Therapist 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 2016-08-31
1578982682 Tracy Lynn Brown Optometrist 223 Reynolds Road, Johnson City, NY 13790 2014-04-16
1083041495 Maryann Serbonich Pharmacist 52 Harrison Street, Johnson City, NY 13790 2013-09-30
1134464399 Kasey Connor Folger Speech-Language Pathologist 3 Laurel St., Johnson City, NY 13790 2012-11-29
1467797571 Bodyworks Physical Therapy LLC Clinic/Center 765 Harry L Drive, Johnson City, NY 13790 2012-11-29
1548518400 Melissa L Korosec Nurse Practitioner 30 Harrison St., Suite 250, Johnson City, NY 13790 2012-08-27
Find all providers in zip 13790

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063025724 Victoria Elizabeth Mcmanus Nurse Practitioner 365 Harry L Dr Ste 110, Johnson City, NY 13790-1471 2020-08-24
1649880139 Amanda Danielle Ledford Nurse Practitioner 3 Enfield Ct, Johnson City, TN 37604-9101 2020-08-09
1861000135 Deborah L Johnson Nurse Practitioner 2 Mcgregor Pl, Johnson City, TN 37604-1454 2020-07-22
1255978417 William Mcguire Nurse Practitioner 176 Willocks Rd, Johnson City, TN 37601-6274 2019-12-06
1881248664 Caiti Riden Nurse Practitioner 316 Marketplace Dr Ste 10, Johnson City, TN 37604-2595 2019-07-30
1699330282 Courtney S Willis Nurse Practitioner 2203 N Greenwood Dr, Johnson City, TN 37604-7030 2019-05-08
1861955452 Cindy Canter Nurse Practitioner 3552 Greenwood Dr, Johnson City, TN 37604-2834 2019-04-10
1366908980 Holly Anne Parvin Nurse Practitioner 3209 W Walnut St, Johnson City, TN 37604-5949 2019-02-19
1891261376 Lindsey Toney Nurse Practitioner 980 Smalling Rd, Johnson City, TN 37601-8208 2018-10-22
1821572868 Karyn Kimberly Bruton Nurse Practitioner 1723 N Roan St, Johnson City, TN 37601-3949 2018-09-15
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 13790

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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