VICKERY HEALTH CENTER (NPI# 1831166446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831166446 |
| Entity Type | Organization |
| Organization Name | VICKERY HEALTH CENTER |
| Practice Address |
8224 Park Ln Vickery Health Center Dallas TX 75231-6021 |
| Mailing Address |
Po Box 660599 Dallas TX 75266-0599 |
| Practice Telephone | 2142660350 |
| Mailing Telephone | 2145904105 |
| Mailing Fax Number | 2145904162 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ERRICA L. BROWN (MEDICAL STAFF COORDINATOR) |
| Authorized Official Telephone | 2145901396 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| X | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
8224 PARK LN VICKERY HEALTH CENTER |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851365696 | Suzette Baez | Pediatrics | 8224 Park Ln, Suite 130, Dallas, TX 75231-6011 | 2006-02-16 |
| 1033577358 | Rajab Zaza | Dentist | 8224 Park Ln, #125, Dallas, TX 75231-6011 | 2016-02-01 |
| 1417350950 | Poonam Bansi | Dentist | 8224 Park Ln, 125, Dallas, TX 75231-6011 | 2014-09-29 |
| 1710301445 | Gerlie Ilag Cardenas | Nurse Practitioner | 8224 Park Ln, Dallas, TX 75231-6011 | 2014-02-17 |
| 1528481926 | Dental Health Programs, Inc. | Dentist | 8224 Park Ln, Suite 125, Dallas, TX 75231-6011 | 2014-01-22 |
| 1558629469 | Greer Mcmichael | Dentist | 8224 Park Ln, 125, Dallas, TX 75231-6011 | 2012-04-27 |
| 1538316120 | Dallas County Hospital District | Nurse Practitioner | 8224 Park Ln, Suite 130, Dallas, TX 75231-6011 | 2008-08-26 |
| 1306968631 | Cynthia Castillo | Social Worker | 8224 Park Ln, Suite 130, Dallas, TX 75231-6011 | 2007-04-06 |
| 1780705756 | Jocelyn Denise Kidd | Dentist | 8224 Park Ln, Suite 125, Dallas, TX 75231-6011 | 2007-04-03 |
| 1275678419 | Direct Case Management, LLC | Durable Medical Equipment & Medical Supplies | 8224 Park Ln, Suite 114, Dallas, TX 75231-6011 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274304 | Arlena Culpepper Guzy | Nurse Practitioner | 900 Jackson St Ste 350, Dallas, TX 75202-4486 | 2020-04-21 |
| 1689205056 | Lauren Ashley Gore | Nurse Practitioner | 7777 Glen America Dr Apt 330, Dallas, TX 75225-1839 | 2020-02-03 |
| 1508402405 | Bailey Mcgee | Nurse Practitioner | 2901 Indiana Blvd Apt 356, Dallas, TX 75226-1543 | 2019-11-26 |
| 1235790288 | Julie Mills Struble | Nurse Practitioner | 3607 Oak Lawn Ave Unit 280, Dallas, TX 75219-4743 | 2019-06-20 |
| 1689238339 | Katherine O'connor | Nurse Practitioner | 6300 Harry Hines Blvd Fl 6, Dallas, TX 75235-5259 | 2019-04-29 |
| 1033678792 | Sandra Beverley Burrell-spence | Nurse Practitioner | 41 Riders Rdg, Dallas, GA 30132-8399 | 2019-03-12 |
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1841701984 | Tam Numinh Tran | Nurse Practitioner | 17370 Preston Rd Ste 412, Dallas, TX 75252-5611 | 2017-10-16 |
| 1356852784 | Dallas County Hospital District | Nurse Practitioner | 1822 Young St, Dallas, TX 75201-5612 | 2017-10-12 |
| 1497274294 | Kelly Beth Caldwell | Nurse Practitioner | 6301 Gaston Ave Ste 100, Dallas, TX 75214-3922 | 2017-09-12 |
| Find all providers in DALLAS | ||||
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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.