ROBERT VICKERS (NPI# 1407489792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407489792 |
| Entity Type | Individual |
| Full Name | ROBERT VICKERS |
| Practice Address |
102 Patrick Street Plz Charleston WV 25387-2444 |
| Practice Telephone | 3042333200 |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356392740 | Robert Allan Vickers | Chiropractor | 2820 Us 27 N, Sebring, FL 33870-1625 | 2006-05-12 |
| 1982097606 | Robert James Vickers | Pharmacist | 91 N Main St, Cedar City, UT 84720-2648 | 2015-03-05 |
| 1457618910 | Robert Vickers | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2012-04-20 |
| 1982611158 | Robert Eugene Vickers Jr. | Emergency Medicine | 7943 Moffett Rd, Semmes, AL 36575-5409 | 2006-08-01 |
| Street Address |
102 PATRICK STREET PLZ |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25387-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043608326 | Joseph Shaffer | Counselor | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2015-01-08 |
| 1003415597 | Loretta Rogers | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-10-26 |
| 1538773221 | Kathryn Paige Hauldren | Social Worker | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-09-01 |
| 1447862768 | Robert Aaron Burton | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-08-18 |
| 1902422066 | Tanya Freeman | Counselor | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-06-24 |
| 1548884075 | Kenneth Brown | Social Worker | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-06-01 |
| 1831711134 | Regina Veltri | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-11 |
| 1619599024 | Patrick Brown | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-08 |
| 1629699434 | Autumn Renee Mccraw | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-04 |
| 1841825221 | Brandy Nicole Swift | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679792493 | Letitia Elaine Tierney | Internal Medicine | Familycare Health Center, 116 N. Hills Plaza, Charleston, WV 25387 | 2007-04-24 |
| 1285960856 | Holly R. Murriner | Physician Assistant | 116 Hills Plz, Charleston, WV 25387 | 2009-11-02 |
| 1427661651 | James Michael Adkins | Technician | 1029 Nease Dr, Charleston, WV 25387-1007 | 2020-08-27 |
| 1578964474 | Resilience Home Care Services, LLC | Home Health | 3700 Washington St W, Charleston, WV 25387-1121 | 2014-09-10 |
| 1205448610 | Christiana E Sovine | Technician | 3902 Washington St W, Charleston, WV 25387-1123 | 2020-08-18 |
| 1245841360 | Nellie Mae Ford | Technician | 802 N Hills Dr, Charleston, WV 25387-1230 | 2020-08-12 |
| 1255941316 | Itai Gravely | Technician | 1863 Sugar Creek Dr, Charleston, WV 25387-1344 | 2020-08-04 |
| 1437513538 | Paula Mooney | Social Worker | 862 Hanna Dr, Charleston, WV 25387-1402 | 2016-04-05 |
| 1952649071 | Enact, Inc. | Case Management | 1701 5th Ave Ste 7, Charleston, WV 25387-1900 | 2013-01-24 |
| 1609045400 | Womencare, Inc | Clinic/Center | 1701 5th Ave, Charleston, WV 25387-1900 | 2008-02-26 |
| Find all providers in zip 25387 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415597 | Loretta Rogers | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-10-26 |
| 1447862768 | Robert Aaron Burton | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-08-18 |
| 1831711134 | Regina Veltri | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-11 |
| 1619599024 | Patrick Brown | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-08 |
| 1629699434 | Autumn Renee Mccraw | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-04 |
| 1841825221 | Brandy Nicole Swift | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-03-06 |
| 1538793484 | Toni Renee Pantoja | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-03-01 |
| 1275164246 | Trenton Deweese | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-01-29 |
| 1952932048 | Anthony Gonzales | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-01-28 |
| 1689214850 | Crystal Renee Allen | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-01-15 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25387 |
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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.