SHANNON V VICKERY


Address: Bldg 301 Andrews Ave, Fort Rucker, AL 36362
Phone: 3342557148

SHANNON V VICKERY (NPI# 1811385453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811385453
Entity Type Individual
Full Name SHANNON V VICKERY
Credential M.S.
Practice Address Bldg 301 Andrews Ave
Fort Rucker
AL 36362
Practice Telephone 3342557148
Mailing Telephone 3342557148
Enumeration Date 2015-01-06
Last Update Date 2015-01-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744R1103X Specialist
Specialization: Research Data Abstracter/Coder 		Other Service Providers

Other Providers SHANNON VICKERY

NPI Name Taxonomy Address Enumeration
1427162544 Shannon Vickery Dentist 9706 Taylorsville Rd, Louisville, KY 40299-2753 2006-08-18

Office Location

Street Address BLDG 301 ANDREWS AVE
City FORT RUCKER
State AL
Zip Code 36362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477721298 Jennifer R Bennett Emergency Medical Technician, Basic Bldg 301 Andrews Ave, Fort Rucker, AL 36362 2008-02-14
1669995866 Audrey Ramos Emergency Medical Technician, Basic Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-07-19
1487177788 Alexis Marulanda Emergency Medical Technician, Paramedic Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-07-19
1154842078 Eric Winston Pelkey Emergency Medical Technician, Paramedic Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-06-30
1053831156 Matthew Lester Davenport Emergency Medical Technician, Basic Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-06-21
1659801462 Gaston Garcia Emergency Medical Technician, Paramedic Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-06-14
1407386261 James Vincent Shields Emergency Medical Technician, Paramedic Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-06-14
1972047843 Wales Rowe Technician/Technologist Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2016-12-13
1275083065 Zachary Daughdrill Emergency Medical Technician, Basic Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2016-10-05
1114370160 Johnnie Robbins Registered Nurse Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2016-07-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235745571 Rachel Kestler Specialist 4102 Gadiator Street, Fort Rucker, AL 36362 2020-09-22
1417589268 Jacob Michael Lezon Emergency Medical Technician, Basic 30501 Nevins St., Ft. Rucker, AL 36362 2020-02-10
1225535388 Rhonda Lewis Wesolek Dental Hygienist Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 2018-04-06
1770013369 National Vision, Inc. Technician/Technologist Bldg 9214, Fort Rucker, AL 36362 2017-06-15
1750730958 Teresa Morgan Knighten Dental Hygienist 4405 Innkeepers St, Fort Rucker, AL 36362 2016-06-08
1568826246 David Virgil II Technician, Other 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 2016-04-08
1356771257 Robert E Smith Emergency Medical Technician, Intermediate Blding 301 Andrew Ave, Ft Rucker, AL 36362 2013-11-14
1548503469 Lindsey Taylor Mendenhall Emergency Medical Technician, Basic Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 2013-03-28
1689913808 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Fort Rucker Bldg. 9214, Daleville, AL 36362 2013-02-07
1275880205 Sandra Lynn Griffin Banner Optometrist 33 Endl Ave, Fort Rucker, AL 36362 2012-08-09
Find all providers in zip 36362

Taxonomy Information

Taxonomy Code 1744R1103X
Grouping Other Service Providers
Classification Specialist
Specialization Research Data Abstracter/Coder

Taxonomy Definition

Definition to come...

Competitor

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City FORT RUCKER
Zip Code 36362

Improve Information

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Dataset Information

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.

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