Active NPI
Vickie Faulter
- Registered Nurse
- Loneta, TX
National Provider Identifier
1083115331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 709542
- Practice address
- 522 County Rd 2509
Loneta, TX 76853 - Phone
- (512) 752-8461
- NPI assigned
- Feb 22, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 709542 | TX | Primary |
Addresses
Primary practice location
522 County Rd 2509
Loneta, TX 76853
Mailing address
PO Box 355
Lometa, TX 76853-0355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 709542 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 709542 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1083115331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 355",
"city": "LOMETA",
"state": "TX",
"postal_code": "768530355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 COUNTY RD 2509",
"city": "LONETA",
"state": "TX",
"postal_code": "76853",
"telephone_number": "512-752-8461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULTER",
"first_name": "VICKIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "709542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "709542",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.