KATHLEEN ELAINE VICKERS I
NPI 1043888514
Clinic/Center - Methadone in Fitchburg, MA

Q: What is Kathleen Vickers's NPI number?

The NPI number for Kathleen Vickers is 1043888514. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Q: What is Kathleen Vickers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Vickers was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2021

1005 MAIN ST, FITCHBURG, MA 01420(160) 347-5519 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Kathleen Elaine Vickers I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN ELAINE VICKERS I (NPI 1043888514) is an individual methadone provider in Fitchburg, Massachusetts, licensed in Massachusetts (S90889172) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1043888514

Entity TypeIndividualFemale

Primary Taxonomy261QM2800X

Provider Legal NameKATHLEEN ELAINE VICKERS I

Location Address1005 MAIN STFitchburg, MA 01420-3179

Mailing Address1005 Main StFitchburg, MA 01420-3179 · (160) 347-5519

Phone(160) 347-5519

Sole ProprietorYes

Enumeration DateJune 11, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1043888514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

License✔ Licensed in MA · S90889172

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

1005 MAIN ST, Fitchburg, MA 01420

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Other Identifiers 1

Medicaid2HC9-X05-FV36MA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Vickers's NPI number?

The NPI number for Kathleen Vickers is 1043888514. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Kathleen Vickers located?

Kathleen Vickers practices at 1005 Main St, Fitchburg, MA 01420. The listed phone number is (160) 347-5519.

What is Kathleen Vickers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Kathleen Vickers was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.