JESSICA ANN VICKERS (NPI# 1609223734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609223734 |
| Entity Type | Individual |
| Full Name | JESSICA ANN VICKERS |
| Credential | CSC-AD |
| Practice Address |
2336 Goddard Pkwy Salisbury MD 21801-1126 |
| Practice Telephone | 4103346961 |
| Practice Fax Number | 4103346362 |
| Mailing Telephone | 4103346961 |
| Mailing Fax Number | 4103346362 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SC2203 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 520202700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1629609615 | Jessica Vickers | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-01-29 |
| 1043694425 | Jessica Vickers | Pharmacist | 1611 Blue Lakes Blvd N, Twin Falls, ID 83301-3374 | 2015-07-15 |
| 1780823013 | Jessica H Vickers | Anesthesiology | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2009-02-10 |
| Street Address |
2336 GODDARD PKWY |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034604 | Jakota L Herring | Social Worker | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2005-09-22 |
| 1508313354 | Stephanie Michelle Wilson | Social Worker | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2016-09-08 |
| 1033666011 | Michael Paul Weedon | Counselor | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2016-09-07 |
| 1174079529 | Shushen Joshi | Counselor | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2016-08-26 |
| 1831643790 | Damel Rasean Scott | Counselor | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2016-08-09 |
| 1902259070 | Rashad Marquis Duncan | Counselor | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2016-07-13 |
| 1770942534 | Terrell Lynn Taylor | Counselor | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2016-02-22 |
| 1447635495 | Kylene Marie Shupe | Counselor | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2015-07-20 |
| 1487038634 | Karen Danielle Doan | Counselor | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2015-07-17 |
| 1407230550 | Milissa Mae David | Registered Nurse | 2336 Goddard Pkwy, Salisbury, MD 21801-1126 | 2015-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803038 | Ellis Butler, Ph.d., LLC | Counselor | 507 W Innes St Ste 270, Salisbury, NC 28144-4265 | 2020-08-26 |
| 1639716103 | Stefanie Danita White | Counselor | 1504 Jake Alexander Blvd W, Salisbury, NC 28147-1213 | 2019-12-04 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1134683238 | Amelia Carmel Hasty-rhodes | Counselor | 303 Saint Johns Dr, Salisbury, NC 28144-9014 | 2019-01-23 |
| 1588142350 | Tabitha Payne | Counselor | 540 Riverside Dr Ste 7, Salisbury, MD 21801-5352 | 2018-08-02 |
| 1881181774 | Aushae Deshields | Counselor | 8182 Brown Rd, Salisbury, MD 21804-2206 | 2018-04-17 |
| 1275038945 | Lisa L Eimer | Counselor | 1980 Earnhardt Rd, Salisbury, NC 28146-2277 | 2018-03-26 |
| 1669970331 | Youth Care Center Incorporated | Counselor | 1504 S Salisbury Blvd Ste 22, Salisbury, MD 21801-7165 | 2018-01-29 |
| 1356875256 | Judith Arnold | Counselor | 130 E Main St Fl 3, Salisbury, MD 21801-5036 | 2017-04-18 |
| Find all providers in SALISBURY | ||||
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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.