Carly M Visintine

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

809 Coshocton Ave Ste F
Mount Vernon, OH 43050-1900

Phone

(866) 534-2639

NPI assigned

Oct 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1366261323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SIMONS AVE APT A",
            "city": "FREDERICKTOWN",
            "state": "OH",
            "postal_code": "430199235",
            "telephone_number": "740-504-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 COSHOCTON AVE STE F",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501900",
            "telephone_number": "866-534-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISINTINE",
        "first_name": "CARLY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Van Winkle, LPN
• Kylee H Vandyke
• Autumn Marie Viars, PMHNP-BC
• Teresa Vickers
• Gilford S Vincent Sr.
• Kaitlin Waggoner, CDCA
• Jamie Michelle Waite, LPN
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2149)
• Wal-Mart Stores East, LP (Vision Center 30-2149)
• Marissa Lynne Walaszek, PA-C

• Case Manager/Care Coordinator in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.