KAITLYN HILLARY MARIE VINCENT NPI 1164199816

NPI Information

NPI: 1164199816
Provider Name: KAITLYN HILLARY MARIE VINCENT
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

PECOS Registration: Yes

Address:
5301 MCAULEY DR
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-3327
Get Directions

Kaitlyn Hillary Marie Vincent is a neonatal and critical care nurse practitioner in Ypsilanti, MI. Kaitlyn Hillary Marie Vincent NPI is 1164199816. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5301 MCAULEY DR
YPSILANTI, MI
ZIP 48197-051
Phone: (734) 712-3327
Fax: (734) 712-5525

The NPI 1164199816 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2021 and was last updated on 12/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	4704317193	MICHIGAN	No
2	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	APRNCNP0030061	OHIO	Yes
3	163WN0002X	Registered Nurse	Neonatal Intensive Care	4704317193	MICHIGAN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0465728	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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