Vineyard Community Charities

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VINEYARD COMMUNITY CHARITIES

Practice address

6250 W Peoria Ave
Glendale, AZ 85302-1000

Phone

(623) 234-2999

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Destiny Brummett

Title

Clinic Administrative Assistant

Phone

(623) 234-2999

Specialties & licenses 1

Addresses

Other names 1

• Vineyard Medical Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Ashby, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1740768308
  NPD (past)

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1619708823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021000",
            "telephone_number": "623-234-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021000",
            "telephone_number": "623-234-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD COMMUNITY CHARITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "BRUMMETT",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "623-234-2999"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineyard Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Vimmerstedt, DO
• Jason Allen Vincent, NP
• Trey William Vincent, HIS
• Rachel Vines
• Vineyard Adult Care Home
• Thomas Barnes Virden III, PH.D.
• Mika Visentin, SLPA
• Visionworks Inc
• Visionworks, Inc,
• Vital Health and Wellness Clinic

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.