1. Home
  2. Directory
  3. Illinois
  4. Harrisburg
  5. Licensed Practical Nurse
  6. NPI Profile

CHARLES KEITH VINEYARD
NPI 1558073189
Licensed Practical Nurse in Harrisburg, IL

Active since December 14, 2022
608 ROLLIE MOORE DR, HARRISBURG, IL 62946(618) 252-6150 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Keith Vineyard NPPES

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

CHARLES KEITH VINEYARD (NPI 1558073189) is an individual licensed practical nurse in Harrisburg, Illinois, licensed in Illinois (043072027) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1558073189
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameCHARLES KEITH VINEYARD
Location Address608 ROLLIE MOORE DRHarrisburg, IL 62946-2351
Mailing Address608 Rollie Moore DrHarrisburg, IL 62946-2351 · (618) 252-6150
Phone(618) 252-6150
Sole ProprietorYes
Enumeration DateDecember 14, 2022
NPPES CertifiedDecember 14, 2022
✔ NPI 1558073189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043072027
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
608 ROLLIE MOORE DR, Harrisburg, IL 62946
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

MRS. PAMELA R ATKINSON MSN FNP-C
Nurse Practitioner
608 ROLLIE MOORE DR
HARRISBURG, IL 62946
Saline County (618) 997-5311
MEGAN MI JOLLY
Technician, Other
608 ROLLIE MOORE DR
HARRISBURG, IL 62946
Saline County (618) 252-6150
PAMELA SUE GRIMES RN
Registered Nurse
608 ROLLIE MOORE DR
HARRISBURG, IL 62946
Saline County (618) 252-6595
MRS. EVIE MARIE ROSSIN LCSW
Social Worker (Clinical)
608 ROLLIE MOORE DR
HARRISBURG, IL 62946
Saline County (618) 925-1740
CHRIS ANN COX NURSE
Registered Nurse
608 ROLLIE MOORE DR
HARRISBURG, IL 62946
Saline County (618) 252-6150
JILLIAN MARIE VAUGHN
Technician, Other
608 ROLLIE MOORE DR
HARRISBURG, IL 62946
Saline County (618) 252-6150
KOBRA ADAMS
Technician, Other
608 ROLLIE MOORE DR
HARRISBURG, IL 62946
Saline County (618) 252-6150
MRS. CHRISTINA RAE DAVIS
Licensed Practical Nurse
608 ROLLIE MOORE DR
HARRISBURG, IL 62946
Saline County (618) 252-6150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Vineyard's NPI number?

The NPI number for Charles Vineyard is 1558073189. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Charles Vineyard located?

Charles Vineyard practices at 608 Rollie Moore Dr, Harrisburg, IL 62946. The listed phone number is (618) 252-6150.

What is Charles Vineyard's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Charles Vineyard was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.