Jina Vick, CNP, PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R14987 Issued in NM

Legal business name

JINA VICK, CNP, PC

Practice address

303 E Washington Ave
Tucumcari, NM 88401-3873

Phone

(505) 461-4464

Fax

(505) 461-4474

NPI assigned

Oct 9, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jina R Vick, CNPNPI 1952396244

Title

President

Phone

(505) 461-4464

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jina Vick, CNP

  • Family Nurse Practitioner
  • Tucumcari, NM
  • NPI 1952396244
  NPD (past) Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1215125950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WASHINGTON AVE",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013873",
            "telephone_number": "505-461-4464",
            "fax_number": "505-461-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WASHINGTON AVE",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013873",
            "telephone_number": "505-461-4464",
            "fax_number": "505-461-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINA VICK, CNP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "JINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-461-4464",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R14987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny J Huerta, CCC-SLP
• Huffman Counseling and Wellness LLC
• J R McCausland PC
• Rhea Marie Jackson
• James E. Saltz, Jr. M.D. P.a.
• Angela R Johnson, LMHC
• Greg L Johnson, MS, BPS, PTA
• Nicholas Renard Johnson
• Sherri Elaine Johnson, PTA
• Lisa Jones

• Nurse Practitioner in Tucumcari, NM
• Providers in Tucumcari, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.