Active NPI
Andrea Coates Vinson, D.C.
- Chiropractor
- Gloucester, MA
National Provider Identifier
1568526945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MA942
- Practice address
- 25 Duncan St
Gloucester, MA 01930-6001 - Phone
- (978) 281-4977
- Fax
- (978) 281-4976
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MA942 | MA | Primary |
Addresses
Primary practice location
25 Duncan St
Gloucester, MA 01930-6001
Mailing address
PO Box 1108
Gloucester, MA 01931-1108
Phone (978) 281-4977
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351046 | Other | MA | HARVARD PILGRIM HEALTH PL |
| Y35701 | Other | MA | BLUE CROSS BLUE SHIELD |
| 716051 | Other | MA | TUFTS HEALTH PLAN |
| 121738 | Other | MA | PHCS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA942 | MA | MD | Chiropractor |
| 942 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Health Group PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Gloucester, MA
- NPI 1558915272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568526945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019311108",
"telephone_number": "978-281-4977",
"fax_number": "978-281-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 DUNCAN ST",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019306001",
"telephone_number": "978-281-4977",
"fax_number": "978-281-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "ANDREA",
"middle_name": "COATES",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "MA942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH PL",
"identifier": "351046",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y35701",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "716051",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "121738",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.