A.Vicki Rickerson MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

AP132396 Issued in TX

Legal business name

A.VICKI RICKERSON MD

Practice address

8601 Village Dr Ste 100
San Antonio, TX 78217-5509

Phone

(210) 646-7227

Fax

(210) 654-3575

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Averess Vicki Rickerson, M.D.

Title

Owner

Phone

(210) 646-7227

Specialties & licenses 1

Addresses

Tax ID family

A Vicki Rickerson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Averess Dean Rickerson

  dba A Vicki Rickerson

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1619131463
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12000/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1235673633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-646-7227",
            "fax_number": "210-654-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-646-7227",
            "fax_number": "210-654-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.VICKI RICKERSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "RICKERSON",
        "authorized_official_first_name": "AVERESS",
        "authorized_official_middle_name": "VICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-646-7227",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "AP132396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A. R. E. Pharmcare
• A. Ruiz Eye Care
• A.B. Dental P.C. (Alamo Ranch Dental)
• A.R.Garza-Vale, M.D.P.a.
• A.R.S. Prasad Medical Services
• A&a Psych Services LLC
• A&B Management, LLC Dba a&B Healthcare Consulting
• A&J Health Services LLC
• A&P Joint Ventures LLC (Right At Home)
• A&P Quality Care Medical LLP

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.