VICKIE L. THOMAS (NPI# 1376630384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376630384 |
| Entity Type | Individual |
| Full Name | VICKIE L. THOMAS |
| Credential | ARNP |
| Practice Address |
3450 Us Route 60 E Barboursville WV 25504-1609 |
| Mailing Address |
Po Box 4100 Barboursville WV 25504-4100 |
| Practice Telephone | 3049556300 |
| Practice Fax Number | 3047335903 |
| Mailing Telephone | 3049556200 |
| Mailing Fax Number | 3047335903 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1065147 | KY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
67306 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5205P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI | 1982615043 | 01 | |
| ANTHEM BCBS | 000000502370 | 01 | |
| KY | 30610026 | 05 | |
| PALMETTA RR MCR | P00408776 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447451240 | Vickie Thomas | Counselor | 6330 Thornton Ave, Newark, CA 94560-3734 | 2007-05-30 |
| 1154539047 | Vickie Thomas | Social Worker | 2100 Comer Ave, Columbus, GA 31904-8725 | 2007-05-21 |
| Street Address |
3450 US ROUTE 60 E |
| City | BARBOURSVILLE |
| State | WV |
| Zip Code | 25504-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295778660 | David John Humphreys | Psychiatry & Neurology | 3450 Us Route 60 E, Barboursville, WV 25504-1609 | 2006-06-14 |
| 1952800856 | Robin L Longstreth | Counselor | 3450 Us Route 60 E, Barboursville, WV 25504-1609 | 2018-02-06 |
| 1053696765 | Sharla Meade | Counselor | 3450 Us Route 60 E, Barboursville, WV 25504-1609 | 2011-10-13 |
| 1942596945 | Sherry Lynn Hoffman | Counselor | 3450 Us Route 60 E, Barboursville, WV 25504-1609 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143115 | Jeff Thomas Slone | Technician | 3350 Holland Creek Road, Barboursville, WV 25504 | 2020-10-30 |
| 1134679061 | Ryan Young | Pharmacist | 6350 Us Route 60 East, Barboursville, WV 25504 | 2016-10-04 |
| 1447706361 | Jennifer M Bruce | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Rd. Suite E, Barboursville, WV 25504 | 2016-08-31 |
| 1528447794 | Susan Berry | Licensed Practical Nurse | 1 Ohanlon Place, Barboursville, WV 25504 | 2015-05-21 |
| 1902209067 | Eric W Kutcher | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road Suite E, Barboursville, WV 25504 | 2014-10-03 |
| 1275940843 | Alex G Smith | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road, Suite E, Barboursville, WV 25504 | 2014-07-16 |
| 1225451297 | Carol Newlon | Counselor | 689 Central Avenue, Barboursville, WV 25504 | 2014-01-28 |
| 1598003386 | Amy E Crabtree | Pharmacist | 6414 Us 60 East, Barboursville, WV 25504 | 2013-01-29 |
| 1538428669 | Amy Beth Cope | Physician Assistant | 6171 Childers Road, Barboursville, WV 25504 | 2012-05-09 |
| 1508167867 | Tara J. Robinson | Dermatology | 6007 U.S.rt 60 E., Suite 130, Barboursville, WV 25504 | 2010-11-03 |
| Find all providers in zip 25504 | ||||
| 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 |
|---|---|---|---|---|
| 1194326595 | Michelle Anne Stanley | Nurse Practitioner | 570 Sauerkraut Road, Wardensville, WV 26851 | 2020-11-03 |
| 1104469899 | Nicole Wennerberg | Nurse Practitioner | 123 Hovatter Dr, Inwood, WV 25428-1298 | 2019-10-24 |
| 1528609856 | Jan Augusta Nieves | Nurse Practitioner | 3094 Charlestown Road, Kearneysville, WV 25430 | 2019-10-08 |
| 1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
| 1205290178 | Kimberly J Rittenhouse | Nurse Practitioner | 1809 Dupont Rd Ste 1, Parkersburg, WV 26101 | 2016-04-07 |
| 1285022723 | Yolanda Hunter | Nurse Practitioner | 201 Adams St, Fairmont, WV 26554-2825 | 2015-01-07 |
| 1437563558 | Janel Nuzum | Nurse Practitioner | 800 Garfield Ave Ste 2, Parkersburg, WV 26101-5376 | 2014-06-17 |
| 1154921716 | Sira Diakite | Nurse Practitioner | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-10-31 |
| 1447857594 | Angela Dawn Monroe | Nurse Practitioner | 911 Emerson Ave, Parkersburg, WV 26104-2526 | 2020-10-01 |
| 1699383414 | Kerry A Tucker | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
| City | BARBOURSVILLE |
| Zip Code | 25504 |
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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.