Active NPI
Jaime R. Vintinner, M.S., CCC-SLP
- Speech-Language Pathologist
- Gray, ME
National Provider Identifier
1619587912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP3258
- Practice address
- 322 W Gray Rd
Gray, ME 04039-9574 - Phone
- (207) 822-6740
- NPI assigned
- Aug 3, 2020
- Last updated
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP3258 | ME | Primary |
Addresses
Primary practice location
322 W Gray Rd
Gray, ME 04039-9574
Mailing address
92 Taylor LN
Naples, ME 04055-5152
Phone (413) 362-2476
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP3258 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1619587912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 TAYLOR LN",
"city": "NAPLES",
"state": "ME",
"postal_code": "040555152",
"telephone_number": "413-362-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 W GRAY RD",
"city": "GRAY",
"state": "ME",
"postal_code": "040399574",
"telephone_number": "207-822-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINTINNER",
"first_name": "JAIME",
"middle_name": "R.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP3258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gray, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.