POLLY T VICK (NPI# 1285793570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285793570 |
| Entity Type | Individual |
| Full Name | POLLY T VICK |
| Credential | FNP |
| Practice Address |
2300 E. Rancier Ave, Ste 103 Killeen TX 76543-3450 |
| Practice Telephone | 2542002310 |
| Practice Fax Number | 2542002340 |
| Mailing Telephone | 2542002310 |
| Mailing Fax Number | 2542002340 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
675722 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2300 E. RANCIER AVE, STE 103 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76543-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146415 | 20 20 Icare Pllc | Optometrist | 3213 E Central Expressway Ste 100b, Killeen, TX 76543 | 2019-07-23 |
| 1801377627 | Pankti Shah | Physical Therapist | Rosewood Retirement Community, 5700 E. Central Texas Expy, Killeen, TX 76543 | 2018-08-29 |
| 1134648207 | Metx, LLC | Audiologist-Hearing Aid Fitter | 3210 E Central Texas Expy, Killeen, TX 76543 | 2017-09-11 |
| 1558770628 | Pm Management Killeen I Nc, LLC | Assisted Living Facility | 5701 E. Central Texas Expressway, Killeen, TX 76543 | 2014-08-04 |
| 1649688722 | Rashad Altawaty | Dentist | 2202 South W S Young Drive, Killeen, TX 76543 | 2014-08-01 |
| 1881950004 | Bradley V Culling | Anesthesiology | 3400 E Central Texas Expy Ste 1, Killeen, TX 76543 | 2012-04-02 |
| 1437386364 | Cenikor Foundation | Community/Behavioral Health | 4520 E Central Texas Expressway, #102, Killeen, TX 76543 | 2009-06-18 |
| 1851595060 | Jack Jones Hearing Centers, Inc | Audiologist | 1711 E Central Texas Expressway, Suite 108-3, Killeen, TX 76543 | 2007-06-12 |
| 1871713412 | Olga Rodgers | Speech-Language Pathologist | 2201 South Ws Young, Suite 117 A-1, Killeen, TX 76543 | 2007-04-26 |
| 1336367978 | Advanced Women's Health Center, Pa | Clinic/Center | 2201 South Ws Young Drive, Suite 114b, Killeen, TX 76543 | 2007-04-20 |
| Find all providers in zip 76543 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986994 | Erica L Wilkerson | Nurse Practitioner | 6402 Flag Stone Dr, Killeen, TX 76542-3314 | 2020-03-05 |
| 1922646413 | Jaton Lozano | Nurse Practitioner | 5013 Donegal Bay Ct, Killeen, TX 76549-5010 | 2019-12-15 |
| 1710528567 | Roberto Rios Valle Jr. | Nurse Practitioner | 5007 Golden Gate Dr, Killeen, TX 76549-3799 | 2019-10-02 |
| 1417469180 | Deborah Lynette Rodriguez-bitler | Nurse Practitioner | 5700 Calcstone Dr, Killeen, TX 76542-5761 | 2017-11-02 |
| 1982126207 | Analiz Hess | Nurse Practitioner | 2405 S Clear Creek Rd Ste 310, Killeen, TX 76549-5775 | 2017-07-07 |
| 1598291528 | Angela Piel | Nurse Practitioner | 2701 E Stan Schlueter Loop, Killeen, TX 76542-3810 | 2017-05-11 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1679022107 | Cecilia Theuring Roman | Nurse Practitioner | 3106 S W S Young Dr Ste 203b, Killeen, TX 76542-2008 | 2016-09-26 |
| 1518213321 | Marcela Anderson | Nurse Practitioner | 4501 S. Clear Creek, Killeen, TX 76549 | 2012-07-30 |
| 1366690653 | Velicia Dianne James | Nurse Practitioner | 807 Gary Loop, Killeen, TX 76542-3809 | 2008-08-29 |
| Find all providers in KILLEEN | ||||
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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.