Individual provider Active NPI

Vineetha Joelin, NP-C

  • Family Nurse Practitioner
  • Yanceyville, NC
National Provider Identifier
1578914982
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227407 Issued in NC
Practice address
189 County Park Rd
Yanceyville, NC 27379-9376
Phone
(336) 694-4129
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 227407 NC Primary

Addresses

Primary practice location

189 County Park Rd
Yanceyville, NC 27379-9376

Mailing address

189 County Park Rd
PO Box 1238
Yanceyville, NC 27379-9376
Phone (336) 694-4129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191029003030 NC Practitioner - Nurse Practitioner 2466784111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of CaswellGroup PAC ID 1052334372, 2 clinicians

Practice addresses (Care Compare)

189 County Park Rd
Yanceyville, NC 27379-9376
Phone (336) 694-4129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Caswell CurrentSince Aug 7, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1578914982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 COUNTY PARK RD",
            "address_2": "PO BOX 1238",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273799376",
            "telephone_number": "336-694-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 COUNTY PARK RD",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273799376",
            "telephone_number": "336-694-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOELIN",
        "first_name": "VINEETHA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "227407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yanceyville, NC

Sources for this page

Verify at the official NPI Registry.