Individual provider Active NPI

Vickie Yvonne Mabry-Height, MD,MPH

  • Internal Medicine Physician
  • Palm Desert, CA
National Provider Identifier
1023287364
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G49812 Issued in CA
Practice address
73241 Highway 111 Ste 3D
Palm Desert, CA 92260
Phone
(760) 636-4734
Fax
(760) 636-0257
NPI assigned
Feb 20, 2008
Last updated
Jul 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G49812 CA Primary

Addresses

Primary practice location

73241 Highway 111 Ste 3D
Palm Desert, CA 92260

Mailing address

PO Box 542
Rancho Mirage, CA 92270-0542
Phone (760) 636-3393

Other practice location 1

8575 NE 138th Ln Ste 201
The Villages, FL 32159-8996
Phone (352) 391-1056

Other identifiers 1

IdentifierTypeStateIssuer
954080495OtherCAIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph C Hildner MD Inc CurrentSince Dec 15, 2012 Accepting new patients
Indiana University Health Ball Memorial Hospital, Inc. Past Accepting new patients

Locations

5051 SE 110th St
Belleview, FL 34420
Phone (335) 267-4173

1020 Lake Sumter Lndg
The Villages, FL 32162

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

8575 NE 138th Ln
Ste 201
The Villages, FL 32159
Phone (352) 391-1056

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1023287364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700542",
            "telephone_number": "760-636-3393",
            "fax_number": "760-636-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73241 HIGHWAY 111 STE 3D",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "760-636-4734",
            "fax_number": "760-636-0257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8575 NE 138th Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321598996",
            "country_code": "US",
            "telephone_number": "352-391-1056",
            "fax_number": "352-391-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABRY-HEIGHT",
        "first_name": "VICKIE",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "MD,MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G49812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "954080495",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.