Caroline Vickers, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

Radar US Army Health Clinic
401 Carpenter Road
Fort Myer, VA 22211

Phone

(703) 696-3032

NPI assigned

Nov 20, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1386113306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 COLLINGWOOD RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223081729",
            "telephone_number": "609-203-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RADAR US ARMY HEALTH CLINIC",
            "address_2": "401 CARPENTER ROAD",
            "city": "FORT MYER",
            "state": "VA",
            "postal_code": "22211",
            "telephone_number": "703-696-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "CAROLINE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Ryan Showalter, PSY.D.
• Kishwar Sultana Sial, M.D
• Elizabeth Taylor, DO
• Heather Elizabeth Taylor, RN
• Anh Trieu
• Sharon Elizabeth Volz, RN
• Billie Eileen Vonengeln, RDH, MS
• Jacqueline H Ware, PHARMD
• Carolynn Marie Warner, MD
• Kershunda Lafaye Washington, LCSW

• Physician Assistant in Fort Myer, VA
• Providers in Fort Myer, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.