Active NPI
Vicki West, CRNP
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1669559282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R086919
- Practice address
- 7323 Aviation Blvd
Ms 1178
Baltimore, MD 21240 - Phone
- (410) 765-6214
- Fax
- (410) 981-8164
- NPI assigned
- Nov 1, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R086919 | MD | Primary |
Addresses
Primary practice location
7323 Aviation Blvd
Ms 1178
Baltimore, MD 21240
Mailing address
7323 Aviation Blvd
Ms 1178
Baltimore, MD 21240
Phone (410) 765-6214
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345161600000",
"number": "1669559282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7323 AVIATION BLVD",
"address_2": "MS 1178",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21240",
"telephone_number": "410-765-6214",
"fax_number": "410-981-8164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7323 AVIATION BLVD",
"address_2": "MS 1178",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21240",
"telephone_number": "410-765-6214",
"fax_number": "410-981-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "VICKI",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "R086919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.