VICKIE B TILLEY (NPI# 1851613566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851613566 |
| Entity Type | Individual |
| Full Name | VICKIE B TILLEY |
| Credential | RN, CDE |
| Practice Address |
1400 N 500 E Logan UT 84341-2455 |
| Practice Telephone | 4357161000 |
| Practice Fax Number | 4357165420 |
| Mailing Telephone | 4357161000 |
| Mailing Fax Number | 4357165420 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
188921-3102 | UT | Nursing Service Providers |
| Street Address |
1400 N 500 E |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540955 | Mark D Anderson | Radiology | 1400 N 500 E, Logan, UT 84341-2455 | 2005-06-28 |
| 1790306884 | Kevin Willis Hall | Physical Medicine & Rehabilitation | 1400 N 500 E, Logan, UT 84341-2455 | 2020-04-30 |
| 1265094742 | Jacob Sanderson | Emergency Medicine | 1400 N 500 E, Logan, UT 84341-2455 | 2019-07-03 |
| 1497317523 | Adele Perry Rosenauer | Speech-Language Pathologist | 1400 N 500 E, Logan, UT 84341-2455 | 2019-06-28 |
| 1174086581 | Ridgeview Pathology LLC | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2019-04-11 |
| 1639659543 | Angelee Hancey | Dietitian, Registered | 1400 N 500 E, Logan, UT 84341-2455 | 2018-08-20 |
| 1144736372 | Ihc Health Services Inc | Radiology | 1400 N 500 E, Logan, UT 84341-2455 | 2017-12-26 |
| 1992231534 | Laycee Mozingo | Dietitian, Registered | 1400 N 500 E, Logan, UT 84341-2455 | 2017-05-02 |
| 1568996072 | Cache Valley Pathology, LLC | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2017-04-12 |
| 1255873352 | Karen Tibbitts Filimoehala | Speech-Language Pathologist | 1400 N 500 E, 1st Floor, Logan, UT 84341-2455 | 2016-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750597 | Emma Carol Calvert Elison | Registered Nurse | 395 W Cougar Blvd, Provo, UT 84604-3311 | 2020-04-28 |
| 1366063638 | Harmony Jean Rosenberg | Registered Nurse | 110 W 1325 N Ste 100, Cedar City, UT 84721-8101 | 2020-04-28 |
| 1285255547 | Megan Maddox | Registered Nurse | 395 W Cougar Blvd Ste 401, Provo, UT 84604-3338 | 2020-04-28 |
| 1477075315 | Annemarie Rousseau | Registered Nurse | 250 West 300 North, Roosevelt, UT 84066 | 2017-07-12 |
| 1780936351 | Kaylynn Buxton | Registered Nurse | 615 Arapeen Dr. Suite 100, Salt Lake City, UT 84108 | 2012-10-08 |
| 1194967059 | Janmarie Peterson | Registered Nurse | George E Wahlen Va Slc Healthcare System, 500 Foothill Blvd., Salt Lake City, UT 84148-0001 | 2009-03-24 |
| 1114985553 | Clarene Townsend Hansen | Registered Nurse | 1055 N 500 W Ste 212, Provo, UT 84604 | 2006-05-03 |
| 1144216292 | Holly A Gore | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2005-09-23 |
| 1245842962 | Eve O'pray-nichols | Registered Nurse | 6932 E 1400 S, Ft. Duchesne, UT 84026 | 2020-08-24 |
| 1821610593 | Harmony A Hatch | Registered Nurse | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2020-05-15 |
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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.