Individual provider Active NPI

Vineeta Jindal, NP

  • Adult Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1104905520
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
900049 Issued in NC
Practice address
820 S Boylan Ave
Raleigh, NC 27603-2246
Phone
(919) 733-0740
NPI assigned
Nov 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 900049 NC Primary

Addresses

Primary practice location

820 S Boylan Ave
Raleigh, NC 27603-2246

Mailing address

11401 Pacesferry Dr
Raleigh, NC 27614-9073
Phone (919) 676-9336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215002933 NC Order and Referring Only - Nurse Practitioner 7618278664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
900049NCMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104905520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 PACESFERRY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149073",
            "telephone_number": "919-676-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032246",
            "telephone_number": "919-733-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINDAL",
        "first_name": "VINEETA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.