Jiji Vincent, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

214678 Issued in GA

Practice address

69 Gold Maple Rd
Lawrenceville, GA 30043-6530

Phone

(678) 267-4164

NPI assigned

Sep 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jiji Mathew Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1922433580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 GOLD MAPLE RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436530",
            "telephone_number": "678-267-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GOLD MAPLE RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436530",
            "telephone_number": "678-267-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JIJI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "214678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIJI",
            "last_name": "MATHEW",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Village Podiatry Group, LLC.
• Evelyn Maria Villamar, BCBA
• Nicole Villamil
• Lemuel G Villanueva, MD
• Jennifer Villegas, PAC
• Vine Health Services, Inc
• Sharad Virmani, M.D.
• Vision Institute Optical, LLC
• Leslie Visor
• Vista Medical Clinic

• Registered Nurse in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.