Ashley Catherine Vicknair, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

691127 Issued in TX

Practice address

180 Joe Wimberley Blvd Ste 102
Wimberley, TX 78676-6083

Phone

(512) 847-7700

NPI assigned

Oct 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1083924534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BOLTON ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483929",
            "telephone_number": "512-797-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JOE WIMBERLEY BLVD STE 102",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786766083",
            "telephone_number": "512-847-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKNAIR",
        "first_name": "ASHLEY",
        "middle_name": "CATHERINE",
        "name_prefix": "Miss",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "691127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolyn H. Tybor, M.ED.,LPC, LMFT
• Christine B Urban, PHYSICAL THERAPIST
• Uvalde County Hospital Authority
• Christine K. Valentine, PT
• Sandra F Vara
• Henry Waters Jr., P.A.-C
• Cheryl R Watson
• Anna R. H. White, MS, RN, FNP-BC
• Fleta G. Whitten, PHYSICAL THERAPIST
• Michele Leigh Wieckowski, APRN

• Pediatric Nurse Practitioner in Wimberley, TX
• Providers in Wimberley, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.