Individual provider Active NPI

Elizabeth O'Hare Vinci, CCC-SLP

  • Speech-Language Pathologist
  • High Point, NC
National Provider Identifier
1164937181
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12402 Issued in NC
Practice address
4001 Piedmont Pkwy
High Point, NC 27265-9402
Phone
(336) 878-8970
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12402 NC Primary

Addresses

Primary practice location

4001 Piedmont Pkwy
High Point, NC 27265-9402

Mailing address

1712 Bearhollow Rd
Greensboro, NC 27410-3504
Phone (336) 509-6081

Other names 1

  • Elizabeth O'Hare Former name

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

LicenseStateTypeSpecialty
12402NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1164937181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 BEARHOLLOW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103504",
            "telephone_number": "336-509-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PIEDMONT PKWY",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659402",
            "telephone_number": "336-878-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCI",
        "first_name": "ELIZABETH",
        "middle_name": "O'HARE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "O'HARE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.