Individual provider Active NPI

Carole D Vinton, BS IN OT

  • Gerontology Occupational Therapist
  • Dallas, TX
National Provider Identifier
1508346354
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
104023 Issued in TX
Practice address
8615 Lullwater Dr
Dallas, TX 75238
Phone
(214) 342-7112
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 104023 TX Primary

Addresses

Primary practice location

8615 Lullwater Dr
Dallas, TX 75238

Mailing address

325 Oakhurst Dr
Murphy, TX 75094-4479
Phone (972) 424-7438

Other practice location 1

325 Oakhurst Dr
Murphy, TX 75094-4479
Phone (972) 424-7438

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
104023TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1508346354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 OAKHURST DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944479",
            "telephone_number": "972-424-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 LULLWATER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75238",
            "telephone_number": "214-342-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Oakhurst Dr",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "TX",
            "postal_code": "750944479",
            "country_code": "US",
            "telephone_number": "972-424-7438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINTON",
        "first_name": "CAROLE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "BS IN OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "TX",
            "license": "104023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.