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DOMINIQUE GABRIELLE VICKERS
NPI 1144064239
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since June 24, 2024
1 KNEELAND ST, BOSTON, MA 02111(617) 636-6828 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2026, Jun 24, 2024 (2 updates tracked since 2024).

About Dominique Gabrielle Vickers NPPES

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

DOMINIQUE GABRIELLE VICKERS (NPI 1144064239) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since June 2024. She maintains a secondary practice location in Bethlehem.

NPPES Registry Identity

NPI1144064239
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDOMINIQUE GABRIELLE VICKERS
Location Address1 KNEELAND STBoston, MA 02111-1527
Mailing Address1 Kneeland StBoston, MA 02111-1527 · (617) 636-6828
Phone(617) 636-6828
Sole ProprietorYes
Enumeration DateJune 24, 2024
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1144064239 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.
1 KNEELAND ST, Boston, MA 02111
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Secondary Practice Location 1

Location 1511 E 3rd St Ste 260Bethlehem, PA 18015-2072 · Phone (484) 526-2460

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.

DR. ROCIO SAAVEDRA DDS
Dentist
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6971
EIRRION DOMINIQUE TIMMONS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
MICHELLE IRENE VALDES
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
NORAH ALAJAJI
Dental Assistant
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6591
DR. ANUJA CHUMBLE PANDA DMD
Dentist (General Practice)
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-2163
GRACE WANG
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
YEHAN KIM
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
GRACE DAVIS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828

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 Dominique Vickers's NPI number?

The NPI number for Dominique Vickers is 1144064239. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Dominique Vickers located?

Dominique Vickers practices at 1 Kneeland St, Boston, MA 02111. The listed phone number is (617) 636-6828.

What is Dominique Vickers'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 Dominique Vickers was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.