Active NPI
Carol Stoltzfus Vickery, RN, MSN
- Registered Nurse
- Frisco, CO
National Provider Identifier
1568657252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 101903
- Practice address
- 37 County Rd
Frisco, CO 80443 - Phone
- (303) 809-5284
- NPI assigned
- Sep 6, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 101903 | PA | Primary |
Addresses
Primary practice location
37 County Rd
Frisco, CO 80443
Mailing address
3661 Overlook TRL
Evergreen, CO 80439-7927
Phone (303) 809-5284
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)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101903 | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1568657252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3661 OVERLOOK TRL",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804397927",
"telephone_number": "303-809-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 COUNTY RD",
"city": "FRISCO",
"state": "CO",
"postal_code": "80443",
"telephone_number": "303-809-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERY",
"first_name": "CAROL",
"middle_name": "STOLTZFUS",
"name_prefix": "Ms.",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "101903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.