Individual provider Active NPI

Jennifer Orr Vincent, MD

  • Pediatrics Physician
  • Chapel Hill, NC
National Provider Identifier
1144455106
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2012-00484 Issued in NC
Practice address
101 Manning Dr
Unc Hospital Medicine Program
Chapel Hill, NC 27599-7110
Phone
(919) 966-3204
Fax
(919) 966-3776
NPI assigned
May 20, 2009
Last updated
Nov 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2012-00484 NC Primary

Addresses

Primary practice location

101 Manning Dr
Unc Hospital Medicine Program
Chapel Hill, NC 27599-7110

Mailing address

5034 Old Clinic Building
CB #7110, Unc Hospital Medicine Program
Chapel Hill, NC 27599-7110
Phone (919) 966-3204

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2012-00484NCMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1144455106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 OLD CLINIC BUILDING",
            "address_2": "CB #7110, UNC HOSPITAL MEDICINE PROGRAM",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997110",
            "telephone_number": "919-966-3204",
            "fax_number": "919-966-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "UNC HOSPITAL MEDICINE PROGRAM",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997110",
            "telephone_number": "919-966-3204",
            "fax_number": "919-966-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JENNIFER",
        "middle_name": "ORR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2012-00484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.