VICKI YIB


Address: 63 Park Street, Andover, MA 01810
Phone: 9784091137

VICKI YIB (NPI# 1154725919) 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) 1154725919
Entity Type Individual
Full Name VICKI YIB
Credential NP
Practice Address 63 Park Street
Andover
MA 01810
Practice Telephone 9784091137
Practice Fax Number 9784091906
Mailing Telephone 9784091137
Mailing Fax Number 9784091906
Enumeration Date 2014-10-22
Last Update Date 2016-06-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
260198 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 63 PARK STREET
City ANDOVER
State MA
Zip Code 01810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154317089 Spyridon Kantas Internal Medicine 63 Park Street, Andover, MA 01810 2005-09-26
1972520484 Andover Smiles Dentist 63 Park Street, Andover, MA 01810 2006-07-17
1831172162 Andrew S Lim Family Medicine 63 Park Street, Andover, MA 01810 2005-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871123513 Jill Katherine Priestley Registered Nurse 251 South Main Street, Andover, MA 01810 2020-01-22
1023672086 Diane Marie Gallant Occupational Therapy Assistant 5606 80 Andover Street, Andover, MA 01810 2019-04-25
1932677473 Jessica Howie Physician Assistant 28 Andover St Fl 1, Andover, MA 01810 2018-11-02
1972087138 Mia Cloonan Social Worker 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 2018-09-23
1063995462 Janet Suleski Social Worker 10 Stevens St, Andover, MA 01810 2018-09-11
1942794706 Alison Catherine Lynch Optometrist 7 Parthenon Cir, Andover, MA 01810 2018-06-15
1740773647 Wandajune Bishop-towle Psychologist 75 Wild Rose Dr., Andover, MA 01810 2018-06-14
1235689860 Jo-ann Elizabeth Newcomb Registered Nurse 12 Hemlock Rd, Andover, MA 01810 2016-10-06
1922476712 Marianela Rivera Physical Therapist 32 Osgood St., Andover, MA 01810 2015-09-10
1447535935 Kathleen L Mccracken Occupational Therapy Assistant 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 2011-10-15
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669018370 Ashley Erin Dimauro Nurse Practitioner 155 Federal St Ste 700, Boston, MA 02110-1727 2019-11-18
1780228924 Jeffrey J Benoit Nurse Practitioner 103 Upper Rd, Deerfield, MA 01342-9739 2019-10-31
1962064626 Katharine Kingsley Campbell Nurse Practitioner 50 Orchardhill Rd, Jamaica Plain, MA 02130-3725 2019-07-02
1124502737 Rebecca Gaffney Nurse Practitioner 200 Mill Rd Ste 190, Fairhaven, MA 02719-5259 2018-09-19
1154821114 Caroline Namuzinda Mawanda Nurse Practitioner 8 Baron Park Ln Apt 20, Burlington, MA 01803-5453 2018-02-16
1205334588 Mary Torkornoo Nurse Practitioner 430 Massasoit Rd, Worcester, MA 01604-3546 2018-01-31
1508374406 Kristin Tyrrell Chouinard Nurse Practitioner Home Md, 75 Sylvan St., Danvers, MA 01923-0192 2018-01-14
1962921379 Krysta L Doucette Nurse Practitioner 47 High Street Suite 101, North Andover, MA 01845-5201 2017-09-18
1366961310 Christine Anna Corallino Nurse Practitioner 14 Foster Street, #3, Boston, MA 02109 2017-09-11
1922546407 Lisa Marie Joyce Nurse Practitioner 321 Manley St, West Bridgewater, MA 02379 2017-02-06
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Competitor

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City ANDOVER
Zip Code 01810

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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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