Vicki Shapiro, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M9163 Issued in ID

Practice address

98 Poplar St
Blackfoot, ID 83221-1758

Phone

(208) 721-1030

Fax

(877) 993-1515

NPI assigned

Apr 25, 2007

Last updated

Dec 7, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Emergency Physicians LLC

  dba Nep

  • Emergency Medicine Physician
  • Arlington, WA
  • NPI 1235172370
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1720207681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N 2ND AVE",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338665",
            "telephone_number": "208-721-1030",
            "fax_number": "877-993-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 POPLAR ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211758",
            "telephone_number": "208-721-1030",
            "fax_number": "877-993-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "VICKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M9163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Schmitt Enterprises (Blackfoot Physical Therapy)
• Dustin Cade Schmitt, MPT, CSCS
• Brianne Scott
• Casandra Dayley Serr, LSW
• Dean Woodrow Shandy, D.O.
• David Shelley, MD
• Shaunna Shortes, FNP C
• Simpson Chiropractic PLLC (Simpson Chiropractic)
• Simpson Dental Offices
• Charles Gordon Simpson, DDS

• Emergency Medicine Physician in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Emergency Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.