Active NPI
Vicki Jean Donaldson, BSN, RN
- Home Health Registered Nurse
- Duncansville, PA
National Provider Identifier
1871074138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 517397L
- Practice address
- 125 Maple Hollow Rd
Duncansville, PA 16635-7920 - Phone
- (814) 693-2273
- NPI assigned
- Aug 24, 2018
- Last updated
- Aug 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN517397L | PA | |
| Home Health Registered Nurse | 163WH0200X | 517397L | PA | Primary |
Addresses
Primary practice location
125 Maple Hollow Rd
Duncansville, PA 16635-7920
Mailing address
125 Maple Hollow Rd
Duncansville, PA 16635-7920
Phone (814) 693-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74-2965625 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 517397L | PA | MD | Home Health Registered Nurse |
| RN517397L | PA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Private Care Resources, Inc | Past | Accepting new patients | |
| Private Care Resources, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Private Care Home Nursing Agency
- Home Health Agency
- Duncansville, PA
- NPI 1477885622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1871074138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 MAPLE HOLLOW RD",
"city": "DUNCANSVILLE",
"state": "PA",
"postal_code": "166357920",
"telephone_number": "814-693-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MAPLE HOLLOW RD",
"city": "DUNCANSVILLE",
"state": "PA",
"postal_code": "166357920",
"telephone_number": "814-693-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "VICKI",
"middle_name": "JEAN",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "PA",
"license": "RN517397L",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "PA",
"license": "517397L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74-2965625",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duncansville, PA
- Merrisa Dibert
- Ronald C Dick, R.PH.
- Matthew Thomas Dillon, LPC
- Discovery House BC LLC (Duncansville Comprehensive Treatment Center)
- Krystal D Disney, PTA
- Drayer Physical Therapy Institute LLC
- Gregory Drew, RPH
- McKenna Elyse Dugan
- Duncansville Emergency Medical SVC
- Duncansville Ops LLC (The Winds at Mattern Orchard Assisted Living)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.