LISA A VICKERS (NPI# 1851474704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851474704 |
| Entity Type | Individual |
| Full Name | LISA A VICKERS |
| Credential | ARNP |
| Practice Address |
1450 N 16th Ave Ste 102 Yakima WA 98902-1381 |
| Practice Telephone | 5092490105 |
| Practice Fax Number | 5092490035 |
| Mailing Telephone | 5092490105 |
| Mailing Fax Number | 5092490035 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30007200 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9647793 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902084650 | Lisa A. Vickers | Counselor | 3207 S Cherokee Ln, Suite 440, Woodstock, GA 30188-7024 | 2008-02-05 |
| 1396872669 | Lisa Vickers | Speech-Language Pathologist | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2007-02-27 |
| 1659372050 | Lisa L Vickers | Orthopaedic Surgery | 7575 5 Mile Rd, Cincinnati, OH 45230-4346 | 2005-08-09 |
| Street Address |
1450 N 16TH AVE STE 102 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699795344 | Kolynn Sinclair | Clinical Nurse Specialist | 1450 N 16th Ave Ste 102, Yakima, WA 98902-1381 | 2006-07-19 |
| 1699155614 | Hires Family Resources | Social Worker | 1450 N 16th Ave Ste 102, Yakima, WA 98902-1381 | 2015-06-04 |
| 1821378431 | Isaac Andrew Johnson | Marriage & Family Therapist | 1450 N 16th Ave Ste 102, Yakima, WA 98902-1381 | 2011-08-26 |
| 1255578357 | Hires Family Resources, Inc. | Clinic/Center | 1450 N 16th Ave Ste 102, Yakima, WA 98902-1381 | 2009-01-12 |
| 1417178054 | Chani F Phillips | Counselor | 1450 N 16th Ave Ste 102, Yakima, WA 98902-1381 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205315397 | Yakima Avenue Medical Clinic, Pllc | Nurse Practitioner | 5 S. 14th Avenue, Attn Behavioral Health Department, Yakima, WA 98902-3101 | 2018-08-09 |
| 1417384744 | Leslie C Rodriguez | Nurse Practitioner | 2807 W Washington Ave Ste 127, Yakima, WA 98903-1367 | 2013-10-01 |
| 1407921836 | Barbara M Mackenzie | Nurse Practitioner | 32 N 3rd St, Suite 437, Yakima, WA 98901-2788 | 2006-11-21 |
| 1407492135 | Monica Miner | Nurse Practitioner | 402 S 4th Ave, Yakima, WA 98902-3546 | 2019-11-18 |
| 1053782102 | Debra Rice | Nurse Practitioner | 402 S 4th Ave, Yakima, WA 98902-3546 | 2015-10-15 |
| 1336488832 | Yakima Worker Care, Pllc | Nurse Practitioner | 409 S 12th Ave, Yakima, WA 98902-3114 | 2013-02-05 |
| 1679833735 | New Direction Behavioral Care LLC | Nurse Practitioner | 1460 N 16th Ave, Ste G, Yakima, WA 98902-7102 | 2012-05-23 |
| 1528326451 | Susan Kathryn Stolzenbach | Nurse Practitioner | 1460 N 16th Ave, Ste G, Yakima, WA 98902-7102 | 2012-04-28 |
| 1952474108 | Karen Diana | Nurse Practitioner | 402 S 4th Ave, Yakima, WA 98902-3546 | 2006-11-16 |
| 1194817700 | Janet Marie Ness | Nurse Practitioner | 717 Fruitvale Blvd, Yakima Community Based Outpt. Clinic (cboc), Yakima, WA 98902 | 2006-09-29 |
| Find all providers in YAKIMA | ||||
Please comment or provide details below to improve the information on LISA A 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.