Active NPI
Katharine Hannah Vincent, CNP
- Nurse Practitioner
- Saint Cloud, MN
National Provider Identifier
1760994644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.022111
- Practice address
- 1200 6TH Ave N
Saint Cloud, MN 56303-2735 - Phone
- (320) 251-2700
- NPI assigned
- Oct 31, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.022111 | OH | Primary |
| Neonatal Nurse Practitioner | 363LN0000X | 022111 | OH |
Addresses
Primary practice location
1200 6TH Ave N
Saint Cloud, MN 56303-2735
Mailing address
3333 Burnet Ave ML 1013
Cincinnati, OH 45229-3026
Phone (513) 636-4225
Other practice location 1
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200
Other practice location 2
3333 Burnet Ave, ML 1013
Cincinnati, OH 45229-3026
Phone (513) 636-4200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kvincent683762@direct.centracare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230330002221 | MN | Practitioner - Nurse Practitioner | 8820358070 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.022111 | OH | MD | Nurse Practitioner |
| 022111 | OH | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Past | Accepting new patients |
Interoperability endpoints
- katharine.vincent.1@29431.direct.athenahealth.com
- kvincent683762@direct.centracare.com
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.
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1760994644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE ML 1013",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4225",
"fax_number": "513-636-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 6TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032735",
"telephone_number": "320-251-2700"
}
],
"practiceLocations": [
{
"address_1": "3333 Burnet Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452293026",
"country_code": "US",
"telephone_number": "513-636-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Burnet Ave, ML 1013",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452293026",
"country_code": "US",
"telephone_number": "513-636-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCENT",
"first_name": "KATHARINE",
"middle_name": "HANNAH",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.022111",
"primary": true
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "OH",
"license": "022111",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kvincent683762@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kvincent683762@direct.centracare.com",
"address_1": "1200 6th Ave N",
"city": "Saint Cloud",
"state": "MN",
"country_code": "US",
"postal_code": "563032735",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.