Active NPI
Vicki L. Andrews, CFNP
- Family Nurse Practitioner
- Duluth, MN
National Provider Identifier
1063432086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 284539-22
- Practice address
- 1200 Kenwood Ave
Duluth, MN 55811-4199 - Phone
- (218) 723-6282
- Fax
- (218) 723-5953
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1285 | WI | |
| Family Nurse Practitioner | 363LF0000X | 284539-22 | MN | Primary |
Addresses
Primary practice location
1200 Kenwood Ave
Duluth, MN 55811-4199
Mailing address
1200 Kenwood Ave
Duluth, MN 55811-4199
Phone (218) 723-6282
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015R1AN | Other | MN | BCBS - MN |
| 0113194 | Other | MN | MEDICA |
| NA9591046223 | Other | MN | PREFERRED ONE |
| 43938900 | Medicaid | WI |
Other names 1
- Vicki L. Veillet
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 218-723-6282 |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1285 | WI | MD | Hearing Instrument Specialist |
| 284539-22 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R. P. Sabo, M.D., P.C. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- MC Minnville, TN
- NPI 1205824984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1063432086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 KENWOOD AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558114199",
"telephone_number": "218-723-6282",
"fax_number": "218-723-5953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 KENWOOD AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558114199",
"telephone_number": "218-723-6282",
"fax_number": "218-723-5953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "VICKI",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "1285",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "284539-22",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - MN",
"identifier": "015R1AN",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0113194",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "NA9591046223",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43938900",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "218-723-6282",
"affiliation": "N",
"address_1": "1200 Kenwood Ave",
"city": "Duluth",
"state": "MN",
"country_code": "US",
"postal_code": "558114199",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VICKI",
"last_name": "VEILLET",
"middle_name": "L.",
"credential": "CFNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.