JARED BLAKE VINCENT (NPI# 1518515626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518515626 |
| Entity Type | Individual |
| Full Name | JARED BLAKE VINCENT |
| Practice Address |
16845 Tortoise St Round Rock TX 78664-8604 |
| Mailing Address |
Po Box 2731 Pflugerville TX 78691-2731 |
| Practice Telephone | 5125981411 |
| Mailing Telephone | 5125981411 |
| Enumeration Date | 2019-09-01 |
| Last Update Date | 2019-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 347C00000X | Private Vehicle | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167836 | Jared Mark Vincent | Ophthalmology | 400 E Vaughn Ave, Ruston, LA 71270-5951 | 2005-10-11 |
| Street Address |
16845 TORTOISE ST |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-8604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023639192 | Vincent Holdings LLC | Durable Medical Equipment & Medical Supplies | 16845 Tortoise St, Round Rock, TX 78664-8604 | 2020-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933572 | Saltgrass Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1100 Round Rock Ave Ste 107a, Round Rock, TX 78681-4517 | 2020-05-07 |
| 1487205597 | Thrive Dme-tx, LLC | Durable Medical Equipment & Medical Supplies | 425 Round Rock West Dr Ste 110, Round Rock, TX 78681-5097 | 2019-09-20 |
| 1497219778 | Inocula, LLC | Durable Medical Equipment & Medical Supplies | 8008 Manx Dr, Round Rock, TX 78681-3864 | 2019-01-30 |
| 1700385424 | Edwards Health Care Services, Inc | Durable Medical Equipment & Medical Supplies | 595 Round Rock West Dr Ste 704, Round Rock, TX 78681-5034 | 2018-02-08 |
| 1841706090 | Kimberly Beth Karacz | Durable Medical Equipment & Medical Supplies | 605 Arrowood Pl, Round Rock, TX 78665-7889 | 2017-12-26 |
| 1487193116 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3000 Rm 1461, Round Rock, TX 78681 | 2017-02-14 |
| 1730545526 | Doug Carlson Builder LLC | Durable Medical Equipment & Medical Supplies | 2611 Creek Bend Cir, Round Rock, TX 78681-1844 | 2016-01-08 |
| 1093005407 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7001 Wyoming Springs, Round Rock, TX 78681-4303 | 2011-04-19 |
| 1740518620 | Tendercare Pedi Supply | Durable Medical Equipment & Medical Supplies | 610 Greenhill Dr, #11203, Round Rock, TX 78665-2200 | 2009-12-03 |
| 1881839645 | Asiko Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 309 W-main St, Suite 117, Round Rock, TX 78664 | 2008-12-09 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on JARED BLAKE VINCENT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.