Vicki Lou Hackman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24411 Issued in KY

Practice address

305 Estill St
Berea, KY 40403-1742

Phone

(859) 985-1415

Fax

(859) 986-6752

NPI assigned

Dec 19, 2005

Last updated

Feb 14, 2014By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Health Help Incorporated

  dba White House Clinic

  • Federally Qualified Health Center (FQHC)
  • Irvine, KY
  • NPI 1427283647
  NPD
• Health Help Incorporated

  dba White House Clinic-Richmond

  • Federally Qualified Health Center (FQHC)
  • Richmond, KY
  • NPI 1659358398
  NPD
• Health Help Incorporated

  dba White House Clinic

  • Federally Qualified Health Center (FQHC)
  • McKee, KY
  • NPI 1770569113
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Berea, KY
  • NPI 1861477630
  NPD

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1215913520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST S",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477089",
            "telephone_number": "606-287-7104",
            "fax_number": "606-287-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ESTILL ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031742",
            "telephone_number": "859-985-1415",
            "fax_number": "859-986-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKMAN",
        "first_name": "VICKI",
        "middle_name": "LOU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "24411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64244114",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Gerrard
• Susan L Gibson, PHARMD
• Robert Bourdeaux Gray, M.D.
• H2 Rehabilitation Services of Kentucky, LLC (H2 Health)
• Bill Junior Hacker, M.D.
• Amanda Jane Hale, MA, CCC-SLP
• Donita Hardy, PA
• Donny Hardy, MD
• Sheila Megan Harlan, CNM
• Harmon Chiropractic Inc

• Family Medicine Physician in Berea, KY
• Providers in Berea, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.