Active NPI
Nancy Vickerson
- Audiologist
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 6565 E Greenway Pkwy Ste 101
Scottsdale, AZ 85254-2056 - Phone
- (480) 948-2056
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
6565 E Greenway Pkwy Ste 101
Scottsdale, AZ 85254-2056
Mailing address
9097 E Desert Cove Ave Ste 200
Scottsdale, AZ 85260-6280
Phone (480) 614-5406
Other practice location 1
395 N Silverbell Rd Ste 201
Tucson, AZ 85745-2719
Phone (520) 792-2170 ext. 48061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, MN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6625 Lyndale Ave S
Suite 105
Richfield, MN 55423-2673
Phone (612) 243-8999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In House Senior Services, LLC | Single Specialty | Current | Accepting new patients |
| Arizona Otolaryngology Consultants, PC | Single Specialty | Current | Accepting new patients |
| Foot Ankle Specialty Centers, LLC | Single Specialty | Past | Accepting new patients |
Locations
5750 W Thunderbird Rd
Ste A100
Glendale, AZ 85306
Phone (602) 938-3205
2222 E Highland Ave
Ste 204
Phoenix, AZ 85016
Phone (602) 264-4834
6565 E Greenway Pkwy
Ste 101
Scottsdale, AZ 85254
Phone (480) 948-2056
6625 Lyndale Ave S
Ste 105
Richfield, MN 55423
Phone (612) 200-8029
6625 Lyndale Ave S
Ste 300
Richfield, MN 55423
Phone (612) 243-8999
Organizations & group practices 3
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.
-
- Primary Podiatric Medicine Podiatrist
- Richfield, MN
- NPI 1083962294
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Gilbert, AZ
- NPI 1679603724
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1225672231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE AVE STE 200",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606280",
"telephone_number": "480-614-5406",
"fax_number": "480-214-9929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 E GREENWAY PKWY STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852542056",
"telephone_number": "480-948-2056"
}
],
"practiceLocations": [
{
"address_1": "395 N Silverbell Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857452719",
"country_code": "US",
"telephone_number": "520-792-2170 x48061",
"fax_number": "520-792-9702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VICKERSON",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.