MRS. KIMBERLY ANN VICKERY LMP
NPI 1174779656
Specialist in Bremerton, WA

NPI Status: Active since August 15, 2008

Contact Information

5060 HIGHWAY 303 NE
SUITE 103
BREMERTON, WA
ZIP 98311
Phone: (360) 377-6335
Fax: (360) 377-6401

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  • Individual
  • Female
  • Specialist
  • Accepts Insurance

About KIMBERLY VICKERY

This page provides the complete NPI Profile along with additional information for Kimberly Vickery, a provider established in Bremerton, Washington with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1174779656 assigned on August 2008. The practitioner's primary taxonomy code is 174400000X with license number MA00019934 (WA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1174779656
Provider Name
MRS. KIMBERLY ANN VICKERY LMP
Gender
Female
Entity Type
Individual
Location Address
5060 HIGHWAY 303 NE SUITE 103 BREMERTON, WA 98311
Location Phone
(360) 377-6335
Location Fax
(360) 377-6401
Mailing Address
12710 OLD MILITARY RD NE POULSBO, WA 98370
Mailing Phone
(360) 440-5471
Mailing Fax
(360) 377-6401
Is Sole Proprietor?
Yes
Enumeration Date
08-15-2008
Last Update Date
10-25-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MA00019934
License State
WA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174779656, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 4 + 7 + 1 + 8 + 6 + 1 + 0 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1174779656.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174779656, enumerated as an "individual" on August 15, 2008.

The provider is located at 5060 HIGHWAY 303 NE SUITE 103 BREMERTON, WA 98311 and the phone number is (360) 377-6335.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.