Individual provider Active NPI

Vickie A Mabile, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1326081522
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP03727 Issued in LA
Practice address
500 Rue de la Vie St
Ste 100
Baton Rouge, LA 70817-5126
Phone
(225) 201-2000
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP03727 LA Primary

Addresses

Primary practice location

500 Rue de la Vie St
Ste 100
Baton Rouge, LA 70817-5126

Mailing address

500 Rue de la Vie St
Ste 100
Baton Rouge, LA 70817-5126
Phone (225) 201-2000

Other identifiers 1

IdentifierTypeStateIssuer
4C240C486MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226001954 TX Practitioner - Nurse Practitioner 6204929706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1801 Kingwood Dr
Suite 225
Kingwood, TX 77339-3058
Phone (281) 713-0939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Integrative Health Clinic LLC CurrentSince Nov 4, 2018 Accepting new patients
Louisiana Women'S Healthcare Associates Past Accepting new patients
Mary Curry Dickerson, MD, LLC Past Accepting new patients

Locations

2300 Green Oak Dr
Ste 150
Kingwood, TX 77339
Phone (832) 533-2473

1801 Kingwood Dr
Ste 225
Kingwood, TX 77339
Phone (281) 713-0939

Interoperability endpoints

  • Direct secure messaging: theintegrativehealthclinic.vickiemabile@152039.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1326081522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "address_2": "STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175126",
            "telephone_number": "225-201-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "address_2": "STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175126",
            "telephone_number": "225-201-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABILE",
        "first_name": "VICKIE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP03727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4C240C486",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.