VICKIE LYNN SORRELL (NPI# 1306114483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306114483 |
| Entity Type | Individual |
| Full Name | VICKIE LYNN SORRELL |
| Credential | FNP-BC |
| Practice Address |
1500 Grand Central Ave Suite115 Vienna WV 26105-1079 |
| Mailing Address |
1751 Earl Core Rd Morgantown WV 26505 |
| Practice Telephone | 3044853627 |
| Practice Fax Number | 3042952315 |
| Mailing Telephone | 3044853627 |
| Mailing Fax Number | 3042952315 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2013-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 58087 | WV | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2011007183 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 GRAND CENTRAL AVE SUITE115 |
| City | VIENNA |
| State | WV |
| Zip Code | 26105-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471561 | Michael Edward Beane | Family Medicine | 1500 Grand Central Ave, Vienna, WV 26105-1079 | 2005-07-21 |
| 1124521448 | Bryan Scott Van Dine | Hearing Instrument Specialist | 1500 Grand Central Ave, Vienna, WV 26105-1079 | 2018-03-13 |
| 1417320805 | Michael Bret Ramsey | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2015-11-06 |
| 1033582440 | Andrew Robinson | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2015-11-06 |
| 1497164883 | Karyn Plotz | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2014-08-11 |
| 1861800591 | Daniel Dafo,dds, Inc. | Dentist | 1500 Grand Central Ave, Suite 104, Vienna, WV 26105-1079 | 2014-07-25 |
| 1770913337 | Amanda Mcdonald | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2013-11-19 |
| 1336586635 | Heidi M Floyd | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2013-05-28 |
| 1609123868 | Lisa Hargus | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2012-08-07 |
| 1033489281 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 1500 Grand Central Ave, Suite 115, Vienna, WV 26105-1079 | 2012-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| Find all providers in zip 26105 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099642 | Lindsey Ruth Gustafson | Nurse Practitioner | 2054 Meadow Springs Dr, Vienna, VA 22182-3771 | 2020-09-25 |
| 1013525310 | Sandra St Louis Thompson | Nurse Practitioner | 3946 King Graves Rd, Vienna, OH 44473 | 2020-07-22 |
| 1750857496 | Kirsten Martin Goetz | Nurse Practitioner | 8357 Leesburg Pike, Vienna, VA 22182-2493 | 2018-10-21 |
| 1124572433 | Katherine Chalkley Frederick | Nurse Practitioner | 243 Church St Nw Ste 100c, Vienna, VA 22180-4434 | 2016-08-04 |
| 1780972034 | Patricia Crawford | Nurse Practitioner | 100 East Street Se, 301, Vienna, VA 22180-4800 | 2011-07-20 |
| 1144513037 | Dana Yousef | Nurse Practitioner | 303 Maple Ave W Ste C, Vienna, VA 22180-4312 | 2011-05-25 |
| 1700112596 | Anissa M Ben Aida | Nurse Practitioner | 370 Maple Ave W, Suite V, Vienna, VA 22180-5615 | 2009-10-29 |
| 1659554814 | Joy F Fellman | Nurse Practitioner | 337 Maple Avenue E, Cvs - Minute Clinic, Vienna, VA 22180 | 2007-12-11 |
| 1043371537 | Sharl Ann Trussell | Nurse Practitioner | 1212 E Union St, Vienna, GA 31092-7545 | 2006-12-12 |
| 1972687051 | Dena C Taylor | Nurse Practitioner | 803 N 1st St, Vienna, IL 62995-1544 | 2006-10-25 |
| Find all providers in VIENNA | ||||
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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.