Active NPI
Michelle Vicente
- Pediatric Skilled Nursing Facility
- Londonderry, NH
National Provider Identifier
1134544778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- 192048
- Practice address
- 286 Winding Pond Rd
Londonderry, NH 03053-3379 - Phone
- (603) 437-3344
- NPI assigned
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 192048 | MA | Primary |
Addresses
Primary practice location
286 Winding Pond Rd
Londonderry, NH 03053-3379
Mailing address
286 Winding Pond Rd
Londonderry, NH 03053-3379
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192048 | MA | MD | Pediatric Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1134544778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 WINDING POND RD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 WINDING POND RD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533379",
"telephone_number": "603-437-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICENTE",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "MA",
"license": "192048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.