MRS. JENNIFER LAVIOLETTE VITELLARO (NPI# 1427309400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427309400 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LAVIOLETTE VITELLARO |
| Credential | NNP-BC |
| Practice Address |
105 Fairfield Oaks Dr Madisonville LA 70447-9235 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 5044811976 |
| Mailing Telephone | 2255260001 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP06085 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SN0000X |
Clinical Nurse Specialist Specialization: Neonatal |
AP06085 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8300 Constantin Blvd, Baton Rouge, LA 708093489 | 2253744325 |
| Street Address |
105 FAIRFIELD OAKS DR |
| City | MADISONVILLE |
| State | LA |
| Zip Code | 70447-9235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460001 | Bfd Madisonville Associates LLC | Dentist | 109 Pine Creek Drive, Suite B, Madisonville, LA 70447 | 2020-05-29 |
| 1740819861 | Carly Pfeiffer | Registered Nurse | 400 Belle Pointe Drive, Madisonville, LA 70447 | 2020-04-02 |
| 1508335910 | Oh Project- Southshore | Nurse Practitioner | 23515 U.S. 190, Northlake Academy Building, Mandeville, LA 70447 | 2018-11-14 |
| 1356702898 | Brook Campo | Behavioral Analyst | 423 Hwy 22 W, Madisonville, LA 70447 | 2016-03-11 |
| 1538554639 | William Howard Ollendike | Counselor | 209 Highway 22 Suite G, Madisonville, LA 70447 | 2015-04-06 |
| 1194127639 | Script Specialists | Pharmacy | 1922 Hwy 22 West, Suite B, Madisonville, LA 70447 | 2014-09-16 |
| 1225459001 | Alecia Hasselbeck | Social Worker | 16181 Indian Point Dr, Madisonville, LA 70447 | 2013-12-23 |
| 1124464888 | Britney Jan Beard | Dentist | 377 Hwy La-21, Ste 102, Madisonville, LA 70447 | 2013-05-21 |
| 1669722930 | Frank Jack George | Obstetrics & Gynecology | 129 Rue Les Bois, Madisonville, LA 70447 | 2012-09-14 |
| 1356617575 | Ernest John Lorch Jr. | Pediatrics | 820 Sand Fox Run, Madisonville, LA 70447 | 2012-04-02 |
| Find all providers in zip 70447 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982961967 | Ashley L Bridges | Nurse Practitioner | 153 Ben Bridges Rd, Downsville, LA 71234-5439 | 2012-04-16 |
| 1366640666 | Kathlyn P Bell | Nurse Practitioner | 180 West Esplanade Ave, Kenner, LA 70065 | 2007-07-07 |
| 1134146921 | Sharon Wooten Sommerville | Nurse Practitioner | 1214 Quincy Dr, Bossier City, LA 71111-8197 | 2006-07-16 |
| 1194346916 | Lavonna Parham | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2020-05-04 |
| 1093349235 | Amanda Madden | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-02-26 |
| 1457991671 | Courtney Price Mansour | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-15 |
| 1396382560 | Wilbur Eric Sharp | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-12-05 |
| 1891257515 | Ainsley L Manning | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2019-04-02 |
| 1558869925 | Shelley Maureen Clapp | Nurse Practitioner | 1401 Foucher St, Nicu, New Orleans, LA 70115 | 2018-01-31 |
| 1346755444 | Candace H Nichols | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2017-12-12 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 70447 |
Please comment or provide details below to improve the information on MRS. JENNIFER LAVIOLETTE VITELLARO.
| 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.