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ARDENNES DREW VICKERY
NPI 1043935141
Student in an Organized Health Care Education/Training Program in Campbell, CA

Active since October 11, 2022
251 LLEWELLYN AVE, CAMPBELL, CA 95008(669) 282-2780 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ardennes Drew Vickery NPPES

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

ARDENNES DREW VICKERY (NPI 1043935141) is an individual student in an organized health care education/training program in Campbell, California and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1043935141
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameARDENNES DREW VICKERY
Location Address251 LLEWELLYN AVECampbell, CA 95008-1940
Mailing Address900 Pepper Tree Ln Apt 9108Santa Clara, CA 95051-5273 · (702) 525-2159
Phone(669) 282-2780
Sole ProprietorYes
Enumeration DateOctober 11, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1043935141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
251 LLEWELLYN AVE, Campbell, CA 95008
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL CASTOR
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
ELYSE JULIA MALCOLM
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (669) 302-9756
SEAN XUAN-HUU NGUYEN
Behavior Technician
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
JAJUAN JAMES MEEKS
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
JOHN CHARLES MANUPELLA
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (877) 412-7474
JESSICA GARCIA
Behavior Technician
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
NAIHLA ARELY DE JESUS MEDINA
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 603-6795
KIM E COUSENS LCSW
Social Worker (Clinical)
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 356-9853

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 Ardennes Vickery's NPI number?

The NPI number for Ardennes Vickery is 1043935141. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Ardennes Vickery located?

Ardennes Vickery practices at 251 Llewellyn Ave, Campbell, CA 95008. The listed phone number is (669) 282-2780.

What is Ardennes Vickery's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ardennes Vickery was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.