Individual provider Active NPI

Vikki Lee Vaiani, MSNAPRNBC

  • Psychiatric/Mental Health Nurse Practitioner
  • Helotes, TX
National Provider Identifier
1124053632
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
446681 Issued in TX
Practice address
12952 Bandera Rd Ste 105
Helotes, TX 78023-4690
Phone
(210) 844-0538
Fax
(210) 934-2058
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 446681 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 446681 TX Primary

Addresses

Primary practice location

12952 Bandera Rd Ste 105
Helotes, TX 78023-4690

Mailing address

24165 Ih 10 W Ste 217-743
San Antonio, TX 78257-1449
Phone (210) 844-0538

Other practice location 1

12050 Vance Jackson Bldg 2
suite 201
san antonio, TX 78230
Phone (210) 699-8881 ext. 19

Other identifiers 1

IdentifierTypeStateIssuer
088299501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922000441 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 5890192629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12952 Bandera Rd
Suite 105
Helotes, TX 78023-4690
Phone (210) 844-0538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
446681TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vikki Vaiani CNS-Anp BC PLLC Psychiatric/Mental Health CurrentSince Aug 1, 2021 Accepting new patients
STBM LLC PastSince Jul 24, 2022 Accepting new patients

Locations

12952 Bandera Rd
Ste 105
Helotes, TX 78023
Phone (210) 844-0538

24165 Ih 10 W
Ste 217743
San Antonio, TX 78257

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1124053632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 IH 10 W STE 217-743",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571449",
            "telephone_number": "210-844-0538",
            "fax_number": "210-934-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD STE 105",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234690",
            "telephone_number": "210-844-0538",
            "fax_number": "210-934-2058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12050 Vance Jackson Bldg 2",
            "address_2": "suite 201",
            "address_purpose": "LOCATION",
            "city": "san antonio",
            "state": "TX",
            "postal_code": "78230",
            "country_code": "US",
            "telephone_number": "210-699-8881 x19",
            "fax_number": "210-699-0503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAIANI",
        "first_name": "VIKKI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSNAPRNBC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "446681",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "446681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088299501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

Verify at the official NPI Registry.