Active NPI
Catherine L Vincent, M.A.
- Customized Equipment (DME)
- Redlands, CA
National Provider Identifier
1811139074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 23-762084
- Practice address
- 1259 Brookside Ave
Redlands, CA 92373-4402 - Phone
- (909) 792-5888
- NPI assigned
- Apr 1, 2009
- Last updated
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 23-762084 | CA | |
| Customized Equipment (DME) | 332BC3200X | 23-762084 | CA | Primary |
| Private Vehicle | 347C00000X | 23-762084 | CA | |
| Chore Provider | 372500000X | 23-762084 | CA | |
| Adult Companion | 372600000X | 23-762084 | CA | |
| Home Health Aide | 374U00000X | 23-762084 | CA | |
| Contractor | 171W00000X | 23-762084 | CA | |
| Home Modifications Contractor | 171WH0202X | 23-762084 | CA | |
| Vehicle Modifications Contractor | 171WV0202X | 23-762084 | CA | |
| Driver | 172A00000X | 23-762084 | CA | |
| In Home Supportive Care Agency | 253Z00000X | 23-762084 | CA |
Addresses
Primary practice location
1259 Brookside Ave
Redlands, CA 92373-4402
Mailing address
PO Box 2271
Redlands, CA 92373-0761
Phone (909) 792-5888
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-762084 | CA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1811139074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2271",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923730761",
"telephone_number": "909-792-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 BROOKSIDE AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734402",
"telephone_number": "909-792-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "CATHERINE",
"middle_name": "L",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "23-762084",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "23-762084",
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "CA",
"license": "23-762084",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "CA",
"license": "23-762084",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "CA",
"license": "23-762084",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "CA",
"license": "23-762084",
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "23-762084",
"primary": false
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "CA",
"license": "23-762084",
"primary": false
},
{
"code": "171WV0202X",
"taxonomy_group": "",
"desc": "Contractor, Vehicle Modifications",
"state": "CA",
"license": "23-762084",
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "23-762084",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CA",
"license": "23-762084",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.