TERESA MICHELE VICKERY (NPI# 1811248198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811248198 |
| Entity Type | Individual |
| Full Name | TERESA MICHELE VICKERY |
| Practice Address |
620 E 18th St Kansas City MO 64108-1510 |
| Practice Telephone | 8165544246 |
| Practice Fax Number | 8165544350 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
2012012235 | MO | Nursing Service Providers |
| Street Address |
620 E 18TH ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154452514 | Martha Jolene Boyd | Marriage & Family Therapist | 620 E 18th St, Kansas City, MO 64108-1510 | 2007-03-08 |
| 1245475862 | Sharon K Hirning | Counselor | 620 E 18th St, Kansas City, MO 64108-1510 | 2008-12-10 |
| 1790939825 | Joy S Williams | Registered Nurse | 620 E 18th St, Kansas City, MO 64108-1510 | 2008-11-17 |
| 1598915126 | Arnold Dulin Santiago | Counselor | 620 E 18th St, Kansas City, MO 64108-1510 | 2008-09-19 |
| 1952550956 | Michelle Comtois | Social Worker | 620 E 18th St, Kansas City, MO 64108-1510 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760013569 | Kayana Ward | Registered Nurse | 5547 Park Ave, Kansas City, MO 64130-3423 | 2020-01-30 |
| 1225488588 | Lori Tucker | Registered Nurse | 6700 N Charleston Dr, Kansas City, MO 64119-5401 | 2016-06-17 |
| 1760501100 | Cheryl Rhodes | Registered Nurse | 2750 Cherry St, Kansas City, MO 64108-3140 | 2007-03-28 |
| 1578662599 | Evern Ferrell | Registered Nurse | 2205 W 36th Ave, Kansas City, KS 66103-2107 | 2006-09-22 |
| 1114406956 | Edna Mae Anderson | Registered Nurse | 1000 E 24th St, Kansas City, MO 64108-2776 | 2018-08-13 |
| 1023506490 | Laurie Ann Wells | Registered Nurse | 3211 Woodland Ave, Kansas City, MO 64109-2073 | 2018-05-01 |
| 1053823682 | Cassandra R Fager | Registered Nurse | 8800 Blue Ridge Blvd, Kansas City, MO 64138-4000 | 2017-11-05 |
| 1942733688 | Tanja Burrus | Registered Nurse | 3211 Woodland Ave, Kansas City, MO 64109-2073 | 2017-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
| 1306161724 | Debra Lee Thompson | Registered Nurse | 493 Nw 1025th Rd, Warrensburg, MO 64093-7636 | 2010-03-29 |
| 1710006101 | Vicky Lynne Fairey | Registered Nurse | Highway J North Box 441, Hayti, MO 63851 | 2007-03-28 |
| 1427659580 | Goldenchildrn | Registered Nurse | 8508 Everett St, Raytown, MO 64138-3133 | 2020-11-05 |
| 1336612779 | Rowdy James Phillips | Registered Nurse | 1008 N Main St, Sikeston, MO 63801-5044 | 2019-01-08 |
| 1235660242 | Brook Lupplace | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2017-03-22 |
| 1154775898 | Lesa Brock | Registered Nurse | 927 Ne Columbus St, Lees Summit, MO 64086-2977 | 2016-04-19 |
| 1417371576 | Jennifer Stark | Registered Nurse | 1450 E 10th St, Rolla, MO 65401-3648 | 2014-02-10 |
| 1114359247 | Shauna Hickem | Registered Nurse | 201 N Garth Ave, Columbia, MO 65203-4105 | 2013-07-31 |
| 1144568023 | Jody Michelle Baslee | Registered Nurse | 1800 Community, Clinton, MO 64735-8804 | 2013-01-28 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
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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.