Linda Vickers, MS, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

579172 Issued in CA

Practice address

1129 Red Tail Way
Simi Valley, CA 93065-7232

Phone

(805) 558-8343

Fax

(805) 334-6377

NPI assigned

Jul 3, 2006

Last updated

Sep 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Royal E Dean MD Medical Corporation

  • General Practice Physician
  • Simi Valley, CA
  • NPI 1922309004
  NPD (past)
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1144250614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14442 RUTGER CIR",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211323",
            "telephone_number": "805-558-8343",
            "fax_number": "805-334-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 RED TAIL WAY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657232",
            "telephone_number": "805-558-8343",
            "fax_number": "805-334-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "579172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL NUTRITION THERAPY",
            "identifier": "MNT579172",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veritas Anesthesia, a Professional Nursing Corporation
• Verity Hospice and Palliative Care Inc
• Priya Verma
• Vertex Physical Therapy Inc.
• Lydia M Vetkos
• Ryan Tait Vickers, PA-C, MMS
• Vicki Leung, O.D., a Professional Corporation
• Victor K. Muradian, D.D.S. Inc
• Vida Hospice and Palliative Care, Inc
• Leah Marie Vigliotto

• Registered Dietitian in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.