MICHELLE R VICKERS (NPI# 1699387183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699387183 |
| Entity Type | Individual |
| Full Name | MICHELLE R VICKERS |
| Credential | RRT |
| Practice Address |
167 Main St Tuba City AZ 86045 |
| Practice Telephone | 8669765941 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
426575 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912412917 | Michelle Lynn Vickers | Nurse Practitioner | 9436 Slauson Ave, Pico Rivera, CA 90660-4748 | 2017-12-12 |
| 1053606913 | Michelle L Vickers | Physical Therapist | 6915 Beechmont Ave, Cincinnati, OH 45230-2909 | 2011-06-17 |
| Street Address |
167 MAIN ST |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458080 | Casey Moore | Pharmacist | 167 Main St, Tuba City, AZ 86045-0600 | 2020-05-14 |
| 1144864794 | Christine Long | Pharmacist | 167 Main St, Tuba City, AZ 86045 | 2019-11-06 |
| 1275195315 | Yolanda Li | Optometrist | 167 Main St, Tuba City, AZ 86045 | 2019-06-28 |
| 1700375664 | Adnew M Workneh | Pharmacist | 167 Main St, Tuba City, AZ 86045 | 2018-05-07 |
| 1265940183 | Sara Bekele | Pharmacist | 167 Main St, Tuba City, AZ 86045 | 2018-01-12 |
| 1861948291 | Kimberly June Frantz | Pharmacist | 167 Main St, Tuba City, AZ 86045 | 2016-08-26 |
| 1821428517 | Jenessa Payano Stark | Midwife | 167 Main St, Tuba City, AZ 86045 | 2013-11-18 |
| 1184994857 | Eben Clattenburg | Emergency Medicine | 167 Main St, Tuba City, AZ 86045 | 2012-01-11 |
| 1699934281 | Jolene Tom | Registered Nurse | 167 Main St, Tuba City, AZ 86045-0600 | 2008-06-09 |
| 1558549782 | Grant Raymond Bender | Pharmacist | 167 Main St, Tuba City, AZ 86045 | 2008-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1902030166 | Corinne Denise Strickland | Radiology | 4350 E Havasu Rd, Tucson, AZ 85718-2518 | 2009-05-04 |
| 1508039793 | Stephen Farrell Albert | Radiology | 6242 E Catesby Rd, Paradise Valley, AZ 85253-3507 | 2008-04-08 |
| 1134258866 | Az Mobile Imaging LLC | Radiology | 10240 W. Indian School Rd, Ste 155, Phoenix, AZ 85037-5906 | 2007-03-06 |
| 1699783514 | David J Cohen | Radiology | 4300 N Miller Rd Ste 122, Scottsdale, AZ 85251 | 2006-08-04 |
| 1730113903 | Ayad K Agha | Radiology | 3120 Willow Creek Rd Unit 100, Prescott, AZ 86301-6852 | 2006-07-11 |
| 1437101946 | Paul Ray Strautman | Radiology | 677 N. Wilmot Road, Tucson, AZ 85711 | 2006-05-16 |
| 1871550384 | Regina A Robinson-noble | Radiology | 4475 E Valley Vista Lane, Paradise Valley, AZ 85253 | 2006-04-27 |
| 1124099213 | Jae Koul Kim | Radiology | 4729 E Sunrise Dr # 315, Tucson, AZ 85718-4534 | 2006-01-28 |
| 1538130877 | N. Judge King IIi | Radiology | 6370 E Miramist Pl, Tucson, AZ 85750-1314 | 2006-01-26 |
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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.