Active NPI
Vickie Ann Simon, RN AND LAC
- Registered Nurse
- New Iberia, LA
National Provider Identifier
1083644868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN056527
- Practice address
- 611 W Admiral Doyle Dr
New Iberia, LA 70560-6408 - Phone
- (337) 373-0002
- Fax
- (337) 373-0129
- NPI assigned
- Jul 4, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 793 | LA | |
| Registered Nurse | 163W00000X | RN056527 | LA | Primary |
Addresses
Primary practice location
611 W Admiral Doyle Dr
New Iberia, LA 70560-6408
Mailing address
111 Gauthier Rd
Lafayette, LA 70501-8347
Phone (337) 278-5396
Other names 1
- Mrs. Vickie Ann Campbell and Fuselier
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN056527 | LA | MD | Registered Nurse |
| 793 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1083644868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 GAUTHIER RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705018347",
"telephone_number": "337-278-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W ADMIRAL DOYLE DR",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705606408",
"telephone_number": "337-373-0002",
"fax_number": "337-373-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "VICKIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RN AND LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "793",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN056527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICKIE",
"last_name": "CAMPBELL AND FUSELIER",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "RN AND LAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.