Individual provider Active NPI

Vicki Michelle Lambert, FNP-BC

  • Family Nurse Practitioner
  • Baldwyn, MS
National Provider Identifier
1861663460
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R863085 Issued in MS
Practice address
121 South Second Street
Baldwyn, MS 38824
Phone
(662) 365-2725
NPI assigned
Mar 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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 R863085 MS Primary

Addresses

Primary practice location

121 South Second Street
Baldwyn, MS 38824

Mailing address

121 South Second Street
Suite B
Baldwyn, MS 38824
Phone (662) 365-2725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20081209000277 MS Practitioner - Nurse Practitioner 2860553807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 S 2ND St
Ally Family Medical Clinic LLC
Baldwyn, MS 38824-2216
Phone (662) 365-2725

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VML Medical Services of Booneville Inc CurrentSince Nov 1, 2010 Accepting new patients
Northeast Ms Internal Medicine PC PastSince Oct 1, 2002 Accepting new patients

Locations

121 S 2nd St
Ste B
Baldwyn, MS 38824

121 S 2nd St
Baldwyn, MS 38824
Phone (662) 365-2725

Organizations & group practices 2

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 2

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": "1206144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1861663460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SOUTH SECOND STREET",
            "address_2": "SUITE B",
            "city": "BALDWYN",
            "state": "MS",
            "postal_code": "38824",
            "telephone_number": "662-365-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SOUTH SECOND STREET",
            "city": "BALDWYN",
            "state": "MS",
            "postal_code": "38824",
            "telephone_number": "662-365-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "VICKI",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-22",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R863085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwyn, MS

Sources for this page

Verify at the official NPI Registry.