Individual provider Active NPI

Vincent James Chamberlain, OCCUPATIONAL THER

  • Occupational Health Clinical Nurse Specialist
  • Altoona, PA
National Provider Identifier
1811245582
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Clinical Nurse SpecialistTaxonomy code 364SX0106X
License
OC012443 Issued in PA
Practice address
300 E Walnut Ave
Altoona, PA 16601-5210
Phone
(814) 943-1272
Fax
(814) 940-8516
NPI assigned
Aug 28, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Clinical Nurse Specialist 364SX0106X OC012443 PA Primary

Addresses

Primary practice location

300 E Walnut Ave
Altoona, PA 16601-5210

Mailing address

300 E Walnut Ave
Altoona, PA 16601-5210
Phone (814) 943-1272

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC012443PAMDOccupational Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Therapy, Inc. Past Accepting new patients
Benchmark Therapy, Inc Past Accepting new patients
Benchmark Therapy, Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1811245582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E WALNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166015210",
            "telephone_number": "814-943-1272",
            "fax_number": "814-940-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E WALNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166015210",
            "telephone_number": "814-943-1272",
            "fax_number": "814-940-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "VINCENT",
        "middle_name": "JAMES",
        "credential": "OCCUPATIONAL THER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0106X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Occupational Health",
            "state": "PA",
            "license": "OC012443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.