Active NPI
Alexandria Holley Vincent, CNM
- Advanced Practice Midwife
- Jackson, TN
National Provider Identifier
1063338556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 42173
- Practice address
- 145 Innovation Dr
Jackson, TN 38305-3019 - Phone
- (731) 422-0213
- Fax
- (731) 506-1801
- NPI assigned
- Jun 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 42173 | TN | Primary |
Addresses
Primary practice location
145 Innovation Dr
Jackson, TN 38305-3019
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 425-5752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1063338556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-425-5752",
"fax_number": "731-256-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 INNOVATION DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053019",
"telephone_number": "731-422-0213",
"fax_number": "731-506-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "ALEXANDRIA",
"middle_name": "HOLLEY",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-29",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TN",
"license": "42173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.