BEVERLY BURT VICKNAIR (NPI# 1407006109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407006109 |
| Entity Type | Individual |
| Full Name | BEVERLY BURT VICKNAIR |
| Credential | RN |
| Practice Address |
2550 Florida Blvd Sw Denham Springs LA 70726-4951 |
| Mailing Address |
12045 Homeport Dr Maurepas LA 70449-3043 |
| Practice Telephone | 2256672792 |
| Mailing Telephone | 2256983445 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH1000X |
Registered Nurse Specialization: Hospice |
RN070442 | LA | Nursing Service Providers |
| Street Address |
2550 FLORIDA BLVD SW |
| City | DENHAM SPRINGS |
| State | LA |
| Zip Code | 70726-4951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861678021 | Home Health Professional | Home Health | 2550 Florida Blvd Sw, Denham Springs, LA 70726-4951 | 2008-01-17 |
| 1366692055 | Ray Rogers | Registered Nurse | 2550 Florida Blvd Sw, Denham Springs, LA 70726-4951 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
| 1306456231 | Jinci Strahan | Registered Nurse | 24495 La-16, Denham Springs, LA 70726 | 2020-08-05 |
| 1568085058 | Bailey Brumley | Case Manager/Care Coordinator | 106 Business Park Ave, Denham Springs, LA 70726 | 2020-05-19 |
| 1518527977 | Papa's Farmacia Via Luzianna LLC | Pharmacy | 25831 Walker South Rd Ste 1, Denham Springs, LA 70726 | 2019-06-18 |
| 1265995807 | Michael Jacob Efferson | Counselor | 303 Veteran Blvd, Denham Springs, LA 70726 | 2019-04-10 |
| 1477031524 | Melissa Sepeda | Social Worker | 1110 South Range Ave, Denham Springs, LA 70726 | 2018-07-31 |
| 1215420633 | Tiffany Summers | Counselor | 30826 Linder Road, Denham Springs, LA 70726 | 2018-06-11 |
| 1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
| 1780130369 | Bonnie Pettyjohn | Counselor | 25560 Oak Hill Rd, Denham Springs, LA 70726 | 2016-09-01 |
| 1053769794 | Southeast Community Health Systems | Clinic/Center | 25753 Walker Road South, Denham Springs, LA 70726 | 2016-06-02 |
| Find all providers in zip 70726 | ||||
| Taxonomy Code | 163WH1000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Hospice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144244831 | St. Tammany Parish Hospital Service District No 1 | Registered Nurse | 725 W 11th Ave, Covington, LA 70433-2317 | 2006-07-26 |
| City | DENHAM SPRINGS |
| Zip Code | 70726 |
Please comment or provide details below to improve the information on BEVERLY BURT VICKNAIR.
| 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.