Active NPI
Vicki L Dennis
- Prosthetics Case Management
- Jasper, AL
National Provider Identifier
1366582678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 446
- Practice address
- 18115 Highway 69
Jasper, AL 35501-7723 - Phone
- (205) 221-2745
- Fax
- (205) 387-7739
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 446 | AL | Primary |
Addresses
Primary practice location
18115 Highway 69
Jasper, AL 35501-7723
Mailing address
18115 Highway 69
Jasper, AL 35501-7723
Phone (205) 221-2745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51511577 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 446 | AL | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366582678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18115 HIGHWAY 69",
"city": "JASPER",
"state": "AL",
"postal_code": "355017723",
"telephone_number": "205-221-2745",
"fax_number": "205-387-7739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18115 HIGHWAY 69",
"city": "JASPER",
"state": "AL",
"postal_code": "355017723",
"telephone_number": "205-221-2745",
"fax_number": "205-387-7739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "VICKI",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "AL",
"license": "446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51511577",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.