Active NPI
Vicky M Lott, M.D.
- Family Medicine Physician
- Moscow, ID
National Provider Identifier
1184707952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M8278
- Practice address
- 623 South Main Street
Moscow, ID 83843 - Phone
- (208) 882-2011
- Fax
- (208) 883-1853
- NPI assigned
- Oct 23, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00040077 | WA | |
| Family Medicine Physician | 207Q00000X | M8278 | ID | Primary |
Addresses
Primary practice location
623 South Main Street
Moscow, ID 83843
Mailing address
623 South Main Street
Moscow, ID 83843
Phone (208) 882-2011
Other practice location 1
825 SE Bishop Blvd Ste 401
Pullman, WA 99163-5517
Phone (509) 336-7720
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104639 | Other | ID | DMERC |
| 806323500 | Other | ID | HEATHY CONNECTIONS |
| 1004375 | Medicaid | WA | |
| 48264 | Other | ID | BLUE CROSS |
| 000010138246 | Other | ID | REGENCE BLUESHIELD |
| 0159575 | Other | WA | WA LABOR & INDUSTRIES |
| 806323500 | Medicaid | ID | |
| 8298937 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District #1-a of Whitman County | Current | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients | |
| Washington State University | Family Medicine | Past | Accepting new patients |
| Valley Medical Center, PLLC | Past | Accepting new patients |
Locations
825 SE Bishop Blvd
Ste 401
Pullman, WA 99163
Phone (509) 336-7720
835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541
840 SE Bishop Blvd
Ste 103
Pullman, WA 99163
Phone (509) 336-7300
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
-
- Multi-Specialty Clinic/Center
- Lewiston, ID
- NPI 1942227699
-
- Medicare Defined Swing Bed Hospital Unit
- Pullman, WA
- NPI 1750401006
-
- Family Medicine Physician
- Pullman, WA
- NPI 1285713776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1184707952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 SOUTH MAIN STREET",
"city": "MOSCOW",
"state": "ID",
"postal_code": "83843",
"telephone_number": "208-882-2011",
"fax_number": "208-883-1853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 SOUTH MAIN STREET",
"city": "MOSCOW",
"state": "ID",
"postal_code": "83843",
"telephone_number": "208-882-2011",
"fax_number": "208-883-1853"
}
],
"practiceLocations": [
{
"address_1": "825 SE Bishop Blvd Ste 401",
"address_purpose": "LOCATION",
"city": "Pullman",
"state": "WA",
"postal_code": "991635517",
"country_code": "US",
"telephone_number": "509-336-7720",
"fax_number": "509-715-2131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOTT",
"first_name": "VICKY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00040077",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M8278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "1104639",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATHY CONNECTIONS",
"identifier": "806323500",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1004375",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "48264",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "000010138246",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRIES",
"identifier": "0159575",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806323500",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8298937",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.