GABRIELLE ANN VICKERY (NPI# 1396367165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396367165 |
| Entity Type | Individual |
| Full Name | GABRIELLE ANN VICKERY |
| Credential | RN, NP |
| Practice Address |
2001 W 86th St Indianapolis IN 46260-1902 |
| Mailing Address |
10417 Rosewood Ct Carmel IN 46033-3973 |
| Practice Telephone | 3174420312 |
| Mailing Telephone | 3174420312 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
28204738A | IN | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06202925 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2001 W 86TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021829 | Bassem I Razzouk | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2005-05-27 |
| 1881209294 | Jennifer L Maupin | Nurse Practitioner | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-09-11 |
| 1851904973 | Taylor Anne Vandervort | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-08-28 |
| 1437762796 | Casey Michelle O'neal | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-08-26 |
| 1396360590 | Kathleen Sue Lilegdon | Dietitian, Registered | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-06-12 |
| 1033732979 | Rachel Leigh Thelen | Physician Assistant | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-27 |
| 1942823976 | Shelby Nichole Preston | Dietitian, Registered | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-26 |
| 1154950798 | Kaylee Elizabeth Poole | Pharmacist | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-06 |
| 1326677014 | Julie Mary Bittar | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-03 |
| 1427687235 | Fawaz Hasnain | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271751 | Lorpu Gborkorquellie Benjamin | Registered Nurse | 3426 Aylesford Ln, Indianapolis, IN 46228-2880 | 2020-10-02 |
| 1801306410 | Deandra Flowers | Registered Nurse | 6901 E 10th St Ste D, Indianapolis, IN 46219-4821 | 2017-10-10 |
| 1114399177 | Heather Marie Catlett | Registered Nurse | 101 Hoss Rd, Indianapolis, IN 46217-3423 | 2015-10-29 |
| 1881833820 | Linda M. Baker | Registered Nurse | 1481 W. 10th St., Indianapolis, IN 46202 | 2009-02-16 |
| 1699388587 | Erika De Leon | Registered Nurse | 1451 Central Ave, Indianapolis, IN 46202-2647 | 2020-08-28 |
| 1184237463 | Cory Coffey | Registered Nurse | 720 Eskenazi Ave, Indianapolis, IN 46202-5187 | 2020-08-26 |
| 1437762713 | Olga Briggs | Registered Nurse | 720 Eskenazi Ave, Indianapolis, IN 46202-5187 | 2020-08-26 |
| 1932668209 | Jamie Lynn Newman | Registered Nurse | 7150 Clearvista Dr, Indianapolis, IN 46256-4699 | 2019-03-17 |
| 1306346762 | Gretchen Marie Tai See | Registered Nurse | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2018-02-12 |
| 1699202879 | Brooke Schaefer | Registered Nurse | 1400 N Ritter Ave Ste 431, Indianapolis, IN 46219-3050 | 2017-05-18 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.