Individual provider Active NPI

Vickie Lester Andre, RN, ARNP, FNP

  • Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1386817971
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN063153 Issued in AZ
Practice address
3708 E Peach Tree Dr
Chandler, AZ 85249-8909
Phone
(480) 895-5875
NPI assigned
Apr 4, 2008
Last updated
Apr 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN063153 AZ Primary

Addresses

Primary practice location

3708 E Peach Tree Dr
Chandler, AZ 85249-8909

Mailing address

3708 E Peach Tree Dr
Chandler, AZ 85249-8909
Phone (480) 895-5875

Other names 1

  • Ms. Vickie L Andre Professional name

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN063153AZMDNurse Practitioner
259AZMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1386817971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 E PEACH TREE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852498909",
            "telephone_number": "480-895-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 E PEACH TREE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852498909",
            "telephone_number": "480-895-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRE",
        "first_name": "VICKIE",
        "middle_name": "LESTER",
        "name_prefix": "Ms.",
        "credential": "RN, ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN063153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKIE",
            "last_name": "ANDRE",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "ARNP,FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.