MRS. LYNDERA VICKLAND (NPI# 1174188478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174188478 |
| Entity Type | Individual |
| Full Name | MRS. LYNDERA VICKLAND |
| Credential | LMT |
| Practice Address |
1248 Gunn Hall Dr Ste 102 Virginia Beach VA 23454-5757 |
| Practice Telephone | 7576370189 |
| Mailing Telephone | 7576370189 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019016556 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VA BOARD OF NURSING DEPARTMENT OF HEALTH PROFESSIONS | 0019016556 | 01 |
| VA | 11741888478 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5002 Jefferson Ave, Newport News, VA 236053204 | 7576370189 |
| Street Address |
1248 GUNN HALL DR STE 102 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-5757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676531 | Dana Carlton | Massage Therapist | 1340 N Great Neck Rd # 1272263, Virginia Beach, VA 23454-2268 | 2020-10-13 |
| 1184221459 | Kathryn Brie Cunningham | Massage Therapist | 3209 Barbour Dr, Virginia Beach, VA 23456-7904 | 2020-10-08 |
| 1730796038 | Kaya Ann Steele | Massage Therapist | 319 Edwin Dr Ste 103, Virginia Beach, VA 23462-4541 | 2020-09-30 |
| 1295340834 | Ashlee Eley | Massage Therapist | 1713 Chase Arbor Cmn, Virginia Beach, VA 23462-7412 | 2020-09-10 |
| 1295349603 | Stacy E Kelley | Massage Therapist | 312 Thalia Station Ct, Virginia Beach, VA 23452-1752 | 2020-09-02 |
| 1861005852 | Angela Sayre Denton | Massage Therapist | 3757 N Landing Rd, Virginia Beach, VA 23456-2402 | 2020-08-28 |
| 1710515606 | Christine M Barnes | Massage Therapist | 1357 N Great Neck Rd Ste 106, Virginia Beach, VA 23454-2237 | 2020-03-28 |
| 1548895923 | Kantria Sierra Kaaroud | Massage Therapist | 4605 Pembroke Lake Cir Ste 303, Virginia Beach, VA 23455-6448 | 2020-03-06 |
| 1427609379 | Ardebe Therapy | Massage Therapist | 1213 Laskin Rd Ste 202, Virginia Beach, VA 23451-5260 | 2019-09-23 |
| 1770138687 | Courtney Janelle Uzzle | Massage Therapist | 156 Newtown Rd Ste A-4, Virginia Beach, VA 23462-2410 | 2019-08-07 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
Please comment or provide details below to improve the information on MRS. LYNDERA VICKLAND.
| 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.