Vickie Jean Gayed, NP
Individual provider Active NPI Family Nurse Practitioner · Huntington, IN
NPI 1154401230 · NPPES record last updated Mar 26, 2013
Key facts
- NPI
- 1154401230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71000442A (IN)
- Practice address
- 2003 Stults Rd
Suite 100
Huntington, IN 46750-1291 - Phone
- (260) 356-5424
- Fax
- (260) 358-2090
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000442A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71000442A | IN | Yes |
Addresses
Primary practice location
2003 Stults Rd
Suite 100
Huntington, IN 46750-1291
Mailing address
1234 E Dupont Rd
Suite 1
Fort Wayne, IN 46825-1545
Phone (260) 373-9700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000655782 | Other | IN | ANTHEM |
| 200302300A | Medicaid | IN | |
| 200956680 | Medicaid | IN |
Other providers in Huntington, IN
- Fresenius Medical Care Fort Wayne, LLC
- Alexandria Froehlke
- Krystel Gainor
- Custodio A. Garrido
- Nabil A Gayed
- Tim Gebreyes
- Stephen F Geders
- Genoa Healthcare LLC
- Mary Gilliam
- Alethea Gilpin
All providers in Huntington, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.