JENNIFER VICKERS (NPI# 1184859225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184859225 |
| Entity Type | Individual |
| Full Name | JENNIFER VICKERS |
| Credential | M.D. |
| Practice Address |
313 E 12th St Ste 100 Austin TX 78701-1954 |
| Practice Telephone | 5123249650 |
| Mailing Telephone | 5123249650 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2014-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | P8626 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 337718601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790167518 | Jennifer Vickers | Optometrist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2015-06-29 |
| 1982004941 | Jennifer Vickers | Nurse Practitioner | 401 Carlson Pkwy, Mail Route Cp340, Minnetonka, MN 55305-5359 | 2014-08-27 |
| 1124391438 | Jennifer L Vickers | Social Worker | 8300 Broadway, Suite F1, Merrillville, IN 46410-8602 | 2012-02-16 |
| 1396058707 | Jennifer L Vickers | Nurse Anesthetist, Certified Registered | 1201 7th St Se, Decatur, AL 35601-3337 | 2010-07-15 |
| 1174539662 | Jennifer Vickers | Psychiatry & Neurology | 2nd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| Street Address |
313 E 12TH ST STE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78701-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748370 | Deborah Elaine Briggs | Family Medicine | 313 E 12th St, Austin, TX 78701-1954 | 2005-08-26 |
| 1225503675 | Karen Quach | Pharmacist | 313 E 12th St, Austin, TX 78701-1954 | 2018-10-11 |
| 1881126357 | Marcia Jovel Landin | Nurse Practitioner | 313 E 12th St, Suite 104, Austin, TX 78701-1954 | 2017-04-03 |
| 1972755635 | Jeanette L Bettes | Physician Assistant | 313 E 12th St, Suite 100, Austin, TX 78701-1954 | 2008-10-14 |
| 1962691550 | Candace Ashton | Nurse Practitioner | 313 E 12th St, Suite 101, Austin, TX 78701-1954 | 2007-10-18 |
| 1013102599 | Kimberly Cheryl Butrum | Nurse Practitioner | 313 E 12th St, Suite 101, Austin, TX 78701-1954 | 2007-09-07 |
| 1245421429 | Ammar Moin Ahmed | Dermatology | 313 E 12th St, Suite 101, Austin, TX 78701-1954 | 2007-08-05 |
| 1699973206 | Sarah W Rudinsky | Nurse Practitioner | 313 E 12th St, Austin, TX 78701-1954 | 2007-07-05 |
| 1316143407 | Chandrini Menka Jayasundera | Internal Medicine | 313 E 12th St, Austin, TX 78701-1954 | 2007-06-25 |
| 1215132881 | Ellen Aurora Middleton | Internal Medicine | 313 E 12th St, Austin, TX 78701-1954 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
| 1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
| 1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1114575792 | Shyneice Lasha Gaddis | Behavior Technician | 100 Congress Ave Suite 2000, Austin, TX 78701 | 2019-08-28 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1538726195 | Zahra Virginia Cain-akbar | Student in an Organized Health Care Education/Training Program | Ut Dell Medical, 1500 Red River St, Austin, TX 78701 | 2019-05-20 |
| 1457918021 | Sara Lugonjic | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 | 2019-05-20 |
| Find all providers in zip 78701 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962864488 | Mark Correa | Dermatology | 4419 Frontier Trl Ste 110, Austin, TX 78745-1567 | 2016-03-23 |
| 1699166991 | Elizabeth L Foley | Dermatology | 505 W Louis Henna Blvd Ste 200, Austin, TX 78728-1703 | 2015-02-09 |
| 1225461924 | Nicholas R Snavely Md | Dermatology | 10815 Rr 2222 Bldg 3a Ste 200, Austin, TX 78730-1159 | 2013-08-16 |
| 1730521113 | James William Green | Dermatology | 9108 Zyle Rd, Austin, TX 78737 | 2013-07-25 |
| 1568808459 | On Site Dermatology of Texas Pllc | Dermatology | 6500 River Place Blvd, Suite 250, Building 7, Austin, TX 78730-1119 | 2013-05-17 |
| 1699044800 | Balcones Dermatology Associates, P.a. | Dermatology | 8240 N. Mo Pac Expwy, Ste 350, Austin, TX 78759 | 2011-12-16 |
| 1689957169 | Sanova Dermatology Pllc | Dermatology | 12319 N Mopac Expy Ste 100, Austin, TX 78758-2486 | 2011-09-21 |
| 1740573997 | Olubusayo Obayan | Dermatology | 3303 Northland Dr Ste 308, Austin, TX 78731 | 2011-05-20 |
| 1306166152 | Elizabeth Rebecca Geddes-bruce | Dermatology | 3637 Far West Blvd Ste E, Austin, TX 78731-4126 | 2010-06-03 |
| 1033437835 | Stanley Tyler Hollmig | Dermatology | 1601 Trinity St Ste 704b, Austin, TX 78712 | 2010-05-04 |
| Find all providers in AUSTIN | ||||
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| 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.