Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Vineyard Personalized Medicine LLC

General Practice Physician in West Tisbury, MA · enumerated 2012 · authorized official Lisa Nagy, Sole Proprietor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275894875

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Registry record

Entity type Organization (Type 2)

Legal business name Vineyard Personalized Medicine LLC

Other name <Unavail>

Practice address 24 Cournoyer Rd, West Tisbury, MA, 02575

Phone (508) 693-1300

Fax (508) 693-1305

Enumeration date May 31, 2012

Last updated in NPPES Nov 25, 2015

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 72590 (MA) Primary

Authorized official

Name Lisa Nagy

Title Sole Proprietor

Phone (508) 693-1300

Other identifiers

Identifier	Type	State	Issuer
11009334A	Medicaid	MA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-11-25. Verify at npiregistry.cms.hhs.gov.

Where is Vineyard Personalized Medicine LLC located?

The practice location on file with NPPES is in West Tisbury, MA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-25.