Vickie S Paulus, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

081901 Issued in IA

Practice address

1003 Cottonwood Rd
Creston, IA 50801-1012

Phone

(641) 782-8457

Fax

(641) 782-7048

NPI assigned

Jan 29, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Crossroads Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Creston, IA
  • NPI 1053694802
  NPD (past)
• Crossroads Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Creston, IA
  • NPI 1578531877
  NPD (past)

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1447714985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 COTTONWOOD RD",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011012",
            "telephone_number": "641-782-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 COTTONWOOD RD",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011012",
            "telephone_number": "641-782-8457",
            "fax_number": "641-782-7048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 W Summit St",
            "address_purpose": "LOCATION",
            "city": "Winterset",
            "state": "IA",
            "postal_code": "502732117",
            "country_code": "US",
            "telephone_number": "515-462-3105",
            "fax_number": "515-462-4076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 E McLane St",
            "address_purpose": "LOCATION",
            "city": "Osceola",
            "state": "IA",
            "postal_code": "502131592",
            "country_code": "US",
            "telephone_number": "641-342-4888",
            "fax_number": "641-342-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "VICKIE",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IA",
            "license": "081901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123984",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Life Family Medicine P.C.
• Next Right Treatment Services, LLC.
• Megan Rose NG, ARNP
• Nurses on Call, Inc.
• Heather Anna Osterbrink, M.D.
• Alex Pettit, PHARMD
• Planned Parenthood of the Heartland
• Logan Porter
• Precision Optical Group
• Mark A Preston, MD

• Psychiatric/Mental Health Registered Nurse in Creston, IA
• Providers in Creston, IA by specialty
• Psychiatric/Mental Health Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.