ELIZABETH LEE VINES
NPI 1437775962
Student in an Organized Health Care Education/Training Program in Santa Cruz, CA

Q: What is Elizabeth Vines's NPI number?

The NPI number for Elizabeth Vines is 1437775962. It was assigned to this individual provider in the NPPES registry on June 20, 2020.

Q: What is Elizabeth Vines's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: Is Elizabeth Vines enrolled in Medicare?

No. Elizabeth Vines has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Vines was last updated on June 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2020Opted out of Medicare · through Jan 1, 2028

700 FREDERICK ST STE 103, SANTA CRUZ, CA 95062(831) 996-1222(831) 417-0443 Get Directions Write a Review

NPPES record last updated: June 20, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Elizabeth Lee Vines NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH LEE VINES (NPI 1437775962) is an individual student in an organized health care education/training program in Santa Cruz, California and active in the NPI registry since June 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1437775962

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELIZABETH LEE VINES

Location Address700 FREDERICK ST STE 103Santa Cruz, CA 95062-2239

Mailing Address700 Frederick St Ste 103Santa Cruz, CA 95062-2239 · (831) 996-1222 · Fax (831) 417-0443

Phone(831) 996-1222

Fax(831) 417-0443

Sole ProprietorNo

Enumeration DateJune 20, 2020

NPPES CertifiedJune 20, 2020

✔ NPI 1437775962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

700 FREDERICK ST STE 103, Santa Cruz, CA 95062

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Elizabeth Lee Vines has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KRISTA DARLENE GALLAGHER MA

Student in an Organized Health Care Education/Training Program