Frank Vidal

Primary specialty

ContractorTaxonomy code 171W00000X

License

9067752 Issued in AZ

Practice address

5090 E Desert Straw LN
Tucson, AZ 85756-5188

Phone

(520) 449-0282

Fax

(520) 407-5398

NPI assigned

Apr 9, 2021

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1548840952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86537",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857546537",
            "telephone_number": "520-721-1887",
            "fax_number": "520-407-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 E DESERT STRAW LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857565188",
            "telephone_number": "520-449-0282",
            "fax_number": "520-407-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "FRANK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "9067752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPEUTIC FOSTER CARE",
            "identifier": "9067752",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Vickroy, PH.D.
• Murray Neal Victor, DC
• Victory Medical Solutions LLC
• Thomas Nicholas Vida, M.S.
• Joseline Vidal Alvarez, M.A.
• Jacqueline Nicole Vidal, MA, LAC
• Karina Bethany Vidal
• Vidya Therapy Services
• Nicole Vienneau
• Sarah Vieta, EDS

• Contractor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.