AMANDA MICHELLE VICKERS (NPI# 1770046518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770046518 |
| Entity Type | Individual |
| Full Name | AMANDA MICHELLE VICKERS |
| Credential | LPC |
| Practice Address |
1505 N 8th St Wichita Falls TX 76306-6718 |
| Mailing Address |
1614 Ruidosa Dr Wichita Falls TX 76306-4911 |
| Practice Telephone | 9403223171 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
77772 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770925794 | Amanda M Vickers | Family Medicine | 3527 W Truman Blvd Ste 100, Jefferson City, MO 65109-5902 | 2013-07-18 |
| 1831700533 | Amanda Vickers | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-08-14 |
| 1871926709 | Amanda Kaye Vickers | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2013-08-14 |
| Street Address |
1505 N 8TH ST |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76306-6718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881175214 | Kayla Christina Lynn Widener | Occupational Therapy Assistant | 300 Tx -11 Loop, Wichita Falls, TX 76306 | 2018-08-23 |
| 1043767221 | Value Smiles Pllc | Dentist | 2710 Central Freeway, Ste 140, Wichita Falls, TX 76306 | 2016-09-06 |
| 1033511514 | Katryna Ehlinger | Military Health Care Provider | 7656 Chablis Circle, Wichita Falls, TX 76306 | 2014-09-16 |
| 1770701518 | Gary Lee Schultz Jr. | Pharmacist | 2522 Iowa Park Road, Wichita Falls, TX 76306 | 2007-04-24 |
| 1558409482 | United Supermarkets, L.L.C. | Pharmacy | 2522 Iowa Park Rd, Wichita Falls, TX 76306 | 2007-02-02 |
| 1679787428 | Cynthia Diane Smith | Pharmacist | 2522 Iowa Park Rd, Wichita Falls, TX 76306 | 2007-05-10 |
| 1992932396 | Tina Marie Harris | Military Health Care Provider | 5608 Greentree Ave, Wichita Falls, TX 76306-1145 | 2009-06-12 |
| 1487042453 | Jill Oldham | Behavioral Analyst | 2307 Hunters Gln, Wichita Falls, TX 76306-1148 | 2014-12-29 |
| 1275916306 | Venus Efebo | Counselor | 2511 Missile Rd, Wichita Falls, TX 76306-1321 | 2015-07-07 |
| 1932390192 | Jane Cook | Licensed Vocational Nurse | 4104 Lenore Dr, Wichita Falls, TX 76306-1807 | 2007-08-05 |
| Find all providers in zip 76306 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540368 | Lauren Nichols | Counselor | 4815 Fairway Blvd, Wichita Falls, TX 76310-3221 | 2020-02-14 |
| 1841842226 | Leslie Arden Bailey | Counselor | 4615 Monterrey Dr, Wichita Falls, TX 76310-3946 | 2019-07-15 |
| 1134784374 | Margory Ann Cantrell | Counselor | 807 8th St Ste 801, Wichita Falls, TX 76301-3319 | 2019-05-02 |
| 1952888380 | Africa R Logan | Counselor | 4425 Westward Dr, Wichita Falls, TX 76308-2438 | 2018-07-27 |
| 1972025807 | Louann Whittington | Counselor | 2211 Midwestern Pkwy Ste 2, Wichita Falls, TX 76308 | 2017-07-12 |
| 1588038939 | Vickie Lamb | Counselor | 1417 9th St, Wichita Falls, TX 76301-4302 | 2015-11-23 |
| 1811302599 | Tiffany A Stewart | Counselor | 4302 Gorman Rd, Wichita Falls, TX 76302-2511 | 2014-06-21 |
| 1477967388 | Michelle Hall | Counselor | 2304 Midwestern Pkwy Ste 103a, Wichita Falls, TX 76308-2342 | 2014-06-18 |
| 1669803300 | Megan Hale | Counselor | 1101 Scott Ave Ste 8, Wichita Falls, TX 76301-4660 | 2013-12-05 |
| 1841637881 | Mary Amanda Beaver | Counselor | 719 Scott Ave Ste 630, Wichita Falls, TX 76301-2610 | 2013-05-31 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76306 |
Please comment or provide details below to improve the information on AMANDA MICHELLE VICKERS.
| 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.