VICTORIA ANN VACCARO (NPI# 1609974112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609974112 |
| Entity Type | Individual |
| Full Name | VICTORIA ANN VACCARO |
| Other Name | VICTORIA ANN THEISEN |
| Credential | FNP |
| Practice Address |
730 Kimole Ln Adrian MI 49221-1463 |
| Practice Telephone | 5172636794 |
| Practice Fax Number | 5172634275 |
| Mailing Telephone | 5172636794 |
| Mailing Fax Number | 5172634275 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704150960 | MI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704150960 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5181698 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306212501 | Victoria Lee Vaccaro | Speech-Language Pathologist | 1918 W Melrose St, Chicago, IL 60657-2033 | 2015-08-11 |
| Street Address |
730 KIMOLE LN |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946077 | Teresa Bednarz-vander Hoff | Occupational Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2018-09-20 |
| 1952802548 | Wesley Griffith | Physical Therapy Assistant | 730 Kimole Ln, Adrian, MI 49221-1463 | 2018-02-28 |
| 1174024863 | Seth Buckman | Occupational Therapy Assistant | 730 Kimole Ln, Adrian, MI 49221-1463 | 2018-02-27 |
| 1174032304 | Krista Ellis | Physical Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2017-09-20 |
| 1619400140 | Natalie Walton | Physical Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2017-04-11 |
| 1225488406 | Debra Lee Steyaert | Occupational Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2016-06-17 |
| 1306219076 | Angela Marie Manwaring | Physical Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2015-11-03 |
| 1144692278 | Emily Grace Hendrixq | Speech-Language Pathologist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2015-10-28 |
| 1003287202 | Tiffany Keith | Occupational Therapist | 730 Kimole Ln, Adrian, MI 49221-1463 | 2015-10-13 |
| 1467836411 | Crg Lynwood, LLC | Durable Medical Equipment & Medical Supplies | 730 Kimole Ln, Adrian, MI 49221-1463 | 2015-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331074 | Shelby Strauch | Nurse Practitioner | 31 E 1st St, Adrian, MO 64720-9279 | 2020-09-16 |
| 1447663257 | Mindy Howard | Nurse Practitioner | 901 Kimole Ln Ste A4, Adrian, MI 49221-1491 | 2014-06-09 |
| 1194881284 | Nadine Hilda Sheehan | Nurse Practitioner | 1750 Howell Hwy, Adrian, MI 49221-9615 | 2006-12-31 |
| 1538187711 | Adrian Clinic, LLC | Nurse Practitioner | 57 East Main Street, Adrian, MO 64720 | 2006-07-17 |
| 1972501138 | Heidi Nichols | Nurse Practitioner | 777 Kimole Ln, Adrian, MI 49221-1478 | 2005-07-12 |
| 1316941826 | Laura J Thiem | Nurse Practitioner | 57 East Main, Adrian, MO 64720 | 2005-06-13 |
| 1487657110 | Sharon Kay Spanbauer | Nurse Practitioner | 1247 E Siena Heights Dr, Adrian, MI 49221 | 2005-05-27 |
| 1851943708 | Emily Rose Kist | Nurse Practitioner | 110 S Madison St, Adrian, MI 49221-2518 | 2019-07-11 |
| 1740773290 | Jeffrey Mark Clinton | Nurse Practitioner | 818 Riverside Ave, Adrian, MI 49221-1446 | 2018-06-10 |
| 1467969717 | Patricia Halbert-raich | Nurse Practitioner | 818 Riverside Ave, Adrian, MI 49221-1446 | 2018-01-09 |
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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.