Active NPI
Betty Melanie Vincent, DC
- Chiropractor
- Madisonville, KY
National Provider Identifier
1073610143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4517
- Practice address
- 329 North Main Street
Madisonville, KY 42431 - Phone
- (270) 825-4333
- Fax
- (270) 825-4333
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4517 | KY | Primary |
Addresses
Primary practice location
329 North Main Street
Madisonville, KY 42431
Mailing address
329 North Main Street
Madisonville, KY 42431
Phone (270) 825-4333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000208785 | Other | KY | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4517 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073610143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 NORTH MAIN STREET",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "42431",
"telephone_number": "270-825-4333",
"fax_number": "270-825-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 NORTH MAIN STREET",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "42431",
"telephone_number": "270-825-4333",
"fax_number": "270-825-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "BETTY",
"middle_name": "MELANIE",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000208785",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.