Vicki J Mayhall, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

19438 Issued in AK

Practice address

1915 E Rezanof Dr
Kodiak, AK 99615-6602

Phone

(907) 486-9545

NPI assigned

Aug 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1982852158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156602",
            "telephone_number": "907-486-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156602",
            "telephone_number": "907-486-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHALL",
        "first_name": "VICKI",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AK",
            "license": "19438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Marker
• Samantha Faith Marlar-Enbom, MA, LPC, LMHC
• Gary Michael Marlar, CDCII, NCAC I
• Amy Kathryn Matthews, RN
• Joseph Kevin Mauer, RPH
• Joshua Paul Mazon, HEALTH SERV TECH
• Stephanie M McCarter
• Ken E McCarty, LMFT
• John Arthur McEntee, RPH
• Kenneth McEntee

• Home Health Registered Nurse in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Home Health Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.