Paula Vickery, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN - 742 Issued in HI

Practice address

1251 Kilauea Ave Ste 190C
Hilo, HI 96720-4293

Phone

(808) 961-1000

Fax

(808) 961-1000

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1013083211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 ONEAWA PL",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205590",
            "telephone_number": "808-959-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 KILAUEA AVE STE 190C",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204293",
            "telephone_number": "808-961-1000",
            "fax_number": "808-961-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERY",
        "first_name": "PAULA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "HI",
            "license": "RN - 40545",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN - 742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000247171",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000551798",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaney Varel
• Shannon Veincent
• Natalia Velez Isaza
• Jennifer Kanoe Veloria, M.A.
• Gregory Ventura
• Lerina Nena Victor
• Nina Vida
• Ferdinand Viernes
• Jessica Vierra, RN, RD
• Jodi Anne Souza Vierra, BA

• Psychiatric/Mental Health Nurse Practitioner in Hilo, HI
• Providers in Hilo, HI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.