Kristin Lynn Vincent, C.N.M.

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

72000084A Issued in IN

Practice address

10609 Brems CT
Osceola, IN 46561-9097

Phone

(574) 400-2558

Fax

(574) 400-2557

NPI assigned

Dec 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Midwives Care

  • Advanced Practice Midwife
  • South Bend, IN
  • NPI 1932556552
  NPD (past) Authorized official

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1932184124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 BREMS CT",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "46561",
            "telephone_number": "574-400-2558",
            "fax_number": "574-400-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10609 BREMS CT",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465619097",
            "telephone_number": "574-400-2558",
            "fax_number": "574-400-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "KRISTIN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "72000084A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000780816",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200346930",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200965560",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rick Straub
• Kristin Lynn Szerszen, CLC, IBCLC
• Thechosenone Home Care LLC
• Theracare Inc (Footprints Pediatric Inc)
• Regina Uribe, LMHC
• Anne Marie Wagner-Angel, LMHC
• Emilee Wagner
• Ivy Warner, IBCLC
• Donald Paul Warren, DC
• Kristina Wendler, RN, CLS

• Advanced Practice Midwife in Osceola, IN
• Providers in Osceola, IN by specialty
• Advanced Practice Midwife in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.

Verify at the official NPI Registry.