Vine Faith in Action

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

VINE FAITH IN ACTION

Practice address

421 E Hickory St
Mankato, MN 56001-2635

Phone

(507) 387-1666

Fax

(507) 387-5775

NPI assigned

Sep 23, 2019

Organization subpart

No

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

Authorized official

Name

Lisa Kopischke

Title

Fiscal Manager

Phone

(507) 386-5572

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1215588140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E HICKORY ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012635",
            "telephone_number": "507-387-1666",
            "fax_number": "507-387-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E HICKORY ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012635",
            "telephone_number": "507-387-1666",
            "fax_number": "507-387-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE FAITH IN ACTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "KOPISCHKE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "507-386-5572"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A617642900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra L Vidotto, LICSW
• Kayleen Rae Vieburg, LICSW
• Andrew Villasenor, DO
• Jessica Kelly Villery, OTD, OTR/L
• Britni Vincent, RD, LD
• Vision World Inc (Vision World)
• Visionworks, Inc. (Visionworks)
• Erin Lee Visker, MS, NCC
• Ashley E Vitale, PA-C
• Vitality Chiropractic & Acupuncture LLC

• Voluntary or Charitable Agency in Mankato, MN
• Providers in Mankato, MN by specialty
• Voluntary or Charitable Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.