Vanessa Marie Vinup

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

510 Tacoma Ave S
Tacoma, WA 98402-5416

Phone

(253) 572-4750

NPI assigned

Oct 3, 2018

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• WCHS Inc

  • Methadone Clinic
  • Lakewood, WA
  • NPI 1811039027
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 3, 2018.

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1295210482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025416",
            "telephone_number": "253-572-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINUP",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDENCY COUNSELOR INTERN",
            "identifier": "CO60755559",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxwell A Villers, BHT
• Apolline Teresa Vincent
• Paul Leonid Vinogradski, PA-S
• Rebecca Dale Vinson, ANP-BC
• Jessica Faith Vinton
• Edelyn Parajes Viola
• Nicole Nancy Virden, LPN
• Virginia Mason Medical Center
• Viridian Associates, LLC
• Joseph Ryan Visser, DPT

• All providers in Tacoma, WA
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.