NPI age
1 years
Enumerated 2024-08-15
● Active
Type 1 · Individual
Angelica De Vincenzis
De Vincenzis is 1 of 94 specialist/technologist providers in Moscow and 1 of 326 in Idaho.
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 326 active specialist/technologist providers in Idaho.
NPI age
1 years
↓ 7 yr below median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 10% of peers with subspecialties
NPI lifetime · 2024 → 2026
2024-08Enumerated in NPPES
2024
2026
Where they practice
Practice location
875 Perimeter Dr
Moscow, ID 838449803
Mailing address
292 Baker St Apt 201
Moscow, ID 838437006
Specialties
-
Specialist/Technologist PrimaryAthletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
-
Student in an Organized Health Care Education/Training ProgramAn 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.
Practice context
Part of a multi-provider practice. 98 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.