Vicky Lynn Pickens, APRN-BC
Individual provider Active NPI Primary Care Nurse Practitioner · Arcadia, MO
NPI 1861535205 · NPPES record last updated Sep 20, 2016
Key facts
- NPI
- 1861535205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 076592 (MO)
- Practice address
- 3828 County Road 124
Arcadia, MO 63621-8889 - Phone
- (573) 546-0144
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirpa LLC | Past | Accepting new patients | |
| Simran Behavioral Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 076592 | MO | Yes |
Addresses
Primary practice location
3828 County Road 124
Arcadia, MO 63621-8889
Mailing address
3828 County Road 124
Arcadia, MO 63621-8889
Phone (573) 546-0144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 427405808 | Medicaid | MO |
Other names
- Vicky Lynn Spiegel
Other providers in Arcadia, MO
All providers in Arcadia, MO · Primary Care Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.