Individual provider Active NPI

Emily Andrea Vicknair, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1740670595
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08130 Issued in LA
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

Updated by the provider on May 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150401000800 LA Practitioner - Nurse Practitioner 4486971462 Reassigns benefits to 5 organizations

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
Coolidge Emergency Group LLCGroup PAC ID 4880846427, 25 clinicians
Crowley Emergency Group LLCGroup PAC ID 1456572965, 26 clinicians
Ambassador Emergency Group, LLCGroup PAC ID 9537168901, 21 clinicians

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 100Reported as group
Quality
84.95
Improvement activities
40
Cost
85.77

Merit-based Incentive Payment System (MIPS)

Final score
90.22 of 100Reported as group
Quality
83.11
Improvement activities
40
Cost
80.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08130LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crowley Emergency Group LLC CurrentSince Nov 16, 2022 Accepting new patients
Ambassador Emergency Group LLC CurrentSince May 23, 2017 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Oct 29, 2016 Accepting new patients
St. Bernard Emergency Group, LLC CurrentSince Nov 2, 2022 Accepting new patients
Hulin Urgent Care Services, LLC CurrentSince Oct 29, 2016 Accepting new patients
Hulin Urgent Care Services LLC Current Accepting new patients
Coolidge Emergency Group LLC CurrentSince Feb 23, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.