Active NPI
Vicki L Vermillion, ANP
- Family Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1396763322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 492
- Practice address
- 3841 Piper Street
Suite T100
Anchorage, AK 99508 - Phone
- (907) 561-3211
- Fax
- (907) 562-7547
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 492 | AK | Primary |
Addresses
Primary practice location
3841 Piper Street
Suite T100
Anchorage, AK 99508
Mailing address
PO Box 200149
Anchorage, AK 99520-0149
Phone (907) 561-3211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022480 | Medicaid | AK | |
| 500028121 | Other | AK | RAILROAD MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1396763322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200149",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995200149",
"telephone_number": "907-561-3211",
"fax_number": "907-562-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 PIPER STREET",
"address_2": "SUITE T100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508",
"telephone_number": "907-561-3211",
"fax_number": "907-562-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMILLION",
"first_name": "VICKI",
"middle_name": "L",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022480",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500028121",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.