Active NPI
Emily Andrea Vicknair, FNP
- Family Nurse Practitioner
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP08130
- Practice address
- 1214 Coolidge Blvd
Lafayette, LA 70503 - Phone
- (337) 289-7183
- NPI assigned
- Feb 2, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08130 | LA | Primary |
Addresses
Primary practice location
1214 Coolidge Blvd
Lafayette, LA 70503
Mailing address
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Other names 1
- Emily Andrea Vicknair
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1214 Coolidge Blvd
Lafayette, LA 70503-2696
Phone (337) 289-7991
1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Phone (337) 783-3222
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-2949
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.73 of 100
- Quality
- 84.95
- Improvement activities
- 40
- Cost
- 85.77
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.22 of 100
- Quality
- 83.11
- Improvement activities
- 40
- Cost
- 80.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP08130 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crowley Emergency Group LLC | Current | Accepting new patients | |
| Ambassador Emergency Group LLC | Current | Accepting new patients | |
| Hulin Urgent Care Services LLC | Current | Accepting new patients | |
| St. Bernard Emergency Group, LLC | Current | Accepting new patients | |
| Hulin Urgent Care Services, LLC | Current | Accepting new patients | |
| Hulin Urgent Care Services LLC | Current | Accepting new patients | |
| Coolidge Emergency Group LLC | Current | Accepting new patients |
Locations
3013 Veterans Memorial Dr
Abbeville, LA 70510
8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166
Interoperability endpoints
- evicknair1443606@direct.ochsner.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1316030844
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1801140934
-
- Emergency Medicine Physician
- Crowley, LA
- NPI 1508275538
-
- Urgent Care Clinic/Center
- New Iberia, LA
- NPI 1699049262
-
- Emergency Medicine Physician
- Chalmette, LA
- NPI 1306386685
-
- Urgent Care Clinic/Center
- Rayne, LA
- NPI 1750055141
-
- Urgent Care Clinic/Center
- Lafayette, LA
- NPI 1598159279
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1740670595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 COOLIDGE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 COOLIDGE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70503",
"telephone_number": "337-289-7183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKNAIR",
"first_name": "EMILY",
"middle_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP08130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "VICKNAIR",
"middle_name": "ANDREA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.