Individual provider Active NPI

Antwanetta Denise Vinson, RCP

  • Certified Respiratory Therapist
  • Atlanta, GA
National Provider Identifier
1285849448
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
006826 Issued in GA
Practice address
187 Moury Ave SW
1607
Atlanta, GA 30315-3425
Phone
(404) 457-7943
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X 0117005266 VA
Certified Respiratory Therapist 227800000X 006826 GA Primary
Certified Respiratory Therapist 227800000X 2006032814 MO
Certified Respiratory Therapist 227800000X 1603395 KS
Certified Respiratory Therapist 227800000X YM012043 PA
Certified Respiratory Therapist 227800000X 003916 NY

Addresses

Primary practice location

187 Moury Ave SW
1607
Atlanta, GA 30315-3425

Mailing address

187 Moury Ave SW
1607
Atlanta, GA 30315-3426
Phone (404) 457-7943

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

LicenseStateTypeSpecialty
006826GAMDCertified Respiratory Therapist
1603395KSMDCertified Respiratory Therapist
2006032814MOMDCertified Respiratory Therapist
003916NYMDCertified Respiratory Therapist
YM012043PAMDCertified Respiratory Therapist
0117005266VAMDCertified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1285849448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MOURY AVE SW",
            "address_2": "1607",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303153426",
            "telephone_number": "404-457-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 MOURY AVE SW",
            "address_2": "1607",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303153425",
            "telephone_number": "404-457-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "ANTWANETTA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "RCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "VA",
            "license": "0117005266",
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "GA",
            "license": "006826",
            "primary": true
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "MO",
            "license": "2006032814",
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "KS",
            "license": "1603395",
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "PA",
            "license": "YM012043",
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NY",
            "license": "003916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.