Brittani Vickers, MSN, PNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024180960 Issued in VA

Practice address

4424 Costello Way
Haymarket, VA 20169-2996

Phone

(703) 753-1895

NPI assigned

Jul 7, 2021

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

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.

• Haymarket Pediatrics

  • Pediatrics Physician
  • Haymarket, VA
  • NPI 1528124419
  NPD (past)

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1194396671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 BRINKER CT",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227015102",
            "telephone_number": "540-423-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 COSTELLO WAY",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692996",
            "telephone_number": "703-753-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "BRITTANI",
        "name_prefix": "Mrs.",
        "credential": "MSN, PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024180960",
            "primary": true
        },
        {
            "code": "163WN0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": "VA",
            "license": "104410158",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "202119582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uva Community Health Medical Group, LLC (UVA Health Surgical Care Haymarket)
• Uva Community Health Medical Group, LLC (UVA Health Obstetrics and Gynecology Haymarket)
• Uva Community Health Medical Group, LLC (UVA Health Breast Surgery Haymarket)
• Uva Prince William Medical Center (UVA Health Haymarket Medical Center)
• Maricarmen Vendrell - Henson, MD
• Laura Lynn Vinoski
• Virginia Counseling Collective LLC
• Virginia CVS Pharmacy LLC (CVS Pharmacy #08966)
• Wal-Mart Stores East LP (Wal-Mart Vision Center 30-3077)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3077)

• Pediatric Nurse Practitioner in Haymarket, VA
• Providers in Haymarket, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.