VICKIE A MARTIN (NPI# 1609074012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609074012 |
| Entity Type | Individual |
| Full Name | VICKIE A MARTIN |
| Other Name | VICKIE A SCHALL |
| Credential | PA-C |
| Practice Address |
560 Gage Blvd Suite 102 Richland WA 99352 |
| Mailing Address |
3900 S Zintel Way Kennewick WA 99338 |
| Practice Telephone | 5099423135 |
| Practice Fax Number | 5096271188 |
| Mailing Telephone | 5099423627 |
| Mailing Fax Number | 5099422268 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10004864 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8432825 | 05 | |
| WA | L&I | 0222365 | 01 |
| WA | 1609074012 | 05 | |
| WA | 0242969 | 0242969 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598004376 | Vickie Martin | Occupational Therapy Assistant | 525 N Saguaro St, Chandler, AZ 85224-4283 | 2013-02-13 |
| 1649822792 | Vickie Martin | Chore Provider | 1325 Airmotive Way Ste 262, Reno, NV 89502-3240 | 2019-07-09 |
| 1609341783 | Vickie Martin | Counselor | 126 E 2nd St, Chillicothe, OH 45601-2593 | 2018-10-04 |
| Street Address |
560 GAGE BLVD SUITE 102 |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699747717 | Diane Lorraine Hanks | Nurse Practitioner | 560 Gage Blvd, Suite 102, Richland, WA 99352 | 2006-02-02 |
| 1851826986 | William Ruzicka | Student in an Organized Health Care Education/Training Program | 560 Gage Blvd, #101 and #206, Richland, WA 99352-8650 | 2017-04-26 |
| 1659818318 | Marja Adair | Nurse Practitioner | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2017-01-19 |
| 1790221679 | Virginia Moullet | Nurse Practitioner | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2017-01-16 |
| 1124571799 | Karen Michelle Dubois | Registered Nurse | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2016-07-29 |
| 1619326899 | Elizabeth Zemel | Audiologist | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2016-06-08 |
| 1477914430 | David Goering | Massage Therapist | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2016-03-17 |
| 1568835486 | Thaina C Moravia | Registered Nurse | 560 Gage Blvd, Ste 102, Richland, WA 99352-8650 | 2015-11-02 |
| 1154791135 | Shawna Evans | Registered Nurse | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2015-10-02 |
| 1679942320 | Rhonda Medina | Registered Nurse | 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 | 2015-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698814 | Jayven Sadae Heilman-moore | Physician Assistant | 2847 Riverbend Dr, Richland, WA 99354-2202 | 2020-08-04 |
| 1467910265 | Sydney Cejka | Physician Assistant | 2148 Sheridan Pl, Richland, WA 99352-8440 | 2019-03-11 |
| 1891277448 | Tyler Andrew Burgett | Physician Assistant | 1015 Marshall Ave, Richland, WA 99354 | 2018-08-30 |
| 1982122578 | Merissa Yvonne Stoops | Physician Assistant | 780 Swift Blvd Ste 101, Richland, WA 99352-3545 | 2017-09-02 |
| 1821403320 | Precious Alexandra Ravina Stone | Physician Assistant | 1100 Goethals Dr Ste B, Richland, WA 99352-3301 | 2014-06-24 |
| 1255762647 | Daric Craven | Physician Assistant | 2435 Stevens Center Pl # Ms 10-a, Richland, WA 99354-1874 | 2013-12-10 |
| 1356616163 | Marissa Ann Parsons | Physician Assistant | 560 Gage Blvd Suite 260, Kadlec Clinic South Richland Primary Care, Richland, WA 99352 | 2012-03-12 |
| 1275838385 | Joel Quiroz | Physician Assistant | 560 Gage Blvd Suite 206, Richland, WA 99352 | 2011-01-20 |
| 1437309267 | Matthew A. Huwe | Physician Assistant | 780 Swift Blvd Ste 301, Richland, WA 99352 | 2008-09-29 |
| 1396760476 | David Douglas | Physician Assistant | 904 S Pine St, Richland, MO 65556-7393 | 2006-07-12 |
| Find all providers in RICHLAND | ||||
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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.