Brooke Elizabeth Vicker, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

H116282 Issued in IA

Practice address

2709 W Briggs Ave
Ste. 1
Fairfield, IA 52556-2649

Phone

(641) 209-9944

Fax

(641) 209-9946

NPI assigned

Sep 14, 2015

Last updated

Oct 12, 2015By 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

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1720456346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 W BRIGGS AVE",
            "address_2": "STE. 1",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562649",
            "telephone_number": "641-209-9944",
            "fax_number": "641-209-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 W BRIGGS AVE",
            "address_2": "STE. 1",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562649",
            "telephone_number": "641-209-9944",
            "fax_number": "641-209-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKER",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "H116282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Gerontology Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.