MR. MATTHEW AARON VICKERS (NPI# 1013494566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013494566 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW AARON VICKERS |
| Credential | PMHNP |
| Practice Address |
7707 San Jacinto Pl Ste 300 Plano TX 75024-3377 |
| Practice Telephone | 2142271300 |
| Mailing Telephone | 2142271300 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP138232 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557626 | Matthew Vickers | Student in an Organized Health Care Education/Training Program | 3207 Hillcrest Dr, Scottsboro, AL 35769-6421 | 2020-01-23 |
| 1548770589 | Matthew Jordan Vickers | Pharmacist | 2155 Walker Building, Auburn, AL 36849 | 2017-10-04 |
| Street Address |
7707 SAN JACINTO PL STE 300 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356747190 | Dasha Leann Joseph | Nurse Practitioner | 7707 San Jacinto Pl Ste 300, Plano, TX 75024-3215 | 2014-11-05 |
| 1588298996 | Christina Rachel Zazay | Nurse Practitioner | 7707 San Jacinto Pl Ste 300, Plano, TX 75024-3377 | 2020-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356747190 | Dasha Leann Joseph | Nurse Practitioner | 7707 San Jacinto Pl Ste 300, Plano, TX 75024-3215 | 2014-11-05 |
| 1235389685 | Gopan Pillai | Nurse Practitioner | 6404 International Pkwy Ste 2100, Plano, TX 75093-8228 | 2008-09-23 |
| 1407002728 | Diane Lois Myers | Nurse Practitioner | 9200 Cedardale Dr, Plano, TX 75025-6536 | 2008-08-18 |
| 1588298996 | Christina Rachel Zazay | Nurse Practitioner | 7707 San Jacinto Pl Ste 300, Plano, TX 75024-3377 | 2020-02-25 |
| 1639713035 | Jaleesa Dkendra Dukuly | Nurse Practitioner | 6839 Communications Pkwy, Plano, TX 75024-5991 | 2019-10-30 |
| 1023665684 | Lanchasica Alexander | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2019-08-19 |
| 1235782202 | Avana Denika Mccarthy | Nurse Practitioner | 4716 Alliance Blvd Ste 400, Plano, TX 75093-5303 | 2019-07-18 |
| 1033761630 | Simon Kaitei | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-07-12 |
| 1497213094 | Judith Wangari Olepere | Nurse Practitioner | 7170 Preston Rd Ste 200, Plano, TX 75024-3382 | 2019-03-04 |
| 1477019446 | Lorraine Chidester | Nurse Practitioner | 6404 International Pkwy Ste 1010, Plano, TX 75093-8346 | 2019-02-14 |
| Find all providers in PLANO | ||||
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| 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.