Active NPI
Vincent Nigro
- Case Manager/Care Coordinator
- Salem, OR
National Provider Identifier
1649726100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1118 Oak St SE
Salem, OR 97301 - Phone
- (503) 585-4949
- NPI assigned
- Aug 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1118 Oak St SE
Salem, OR 97301
Mailing address
1118 Oak St SE
Salem, OR 97301-4019
Phone (503) 585-4949
Other practice location 1
180 Sierra College Dr
Grass Valley, CA 95945-5768
Phone (530) 271-1140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122994 | Medicaid | OR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite Wellness Centers | Past | Accepting new patients | |
| Marion County | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Salem, OR
- NPI 1528147782
-
- Community/Behavioral Health Agency
- Grass Valley, CA
- NPI 1750500237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572652800000",
"number": "1649726100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 OAK ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014019",
"telephone_number": "503-585-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 OAK ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "503-585-4949"
}
],
"practiceLocations": [
{
"address_1": "180 Sierra College Dr",
"address_purpose": "LOCATION",
"city": "Grass Valley",
"state": "CA",
"postal_code": "959455768",
"country_code": "US",
"telephone_number": "530-271-1140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIGRO",
"first_name": "VINCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-25",
"last_updated": "2019-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122994",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.