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JENNIFER SUE VANVICKLE M.D.
NPI 1356374680
Radiology - Diagnostic Radiology in Raleigh, NC

Active since July 09, 2006
4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-3023(919) 784-3497 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Sue Vanvickle M.d. NPPES

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

JENNIFER SUE VANVICKLE M.D. (NPI 1356374680) is an individual diagnostic radiology provider in Raleigh, North Carolina, licensed in North Carolina (38724) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1356374680
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameJENNIFER SUE VANVICKLECredential: M.D.
Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505
Mailing Address4020 Westchase Blvd, Suite 390Raleigh, NC 27607-3938 · (919) 834-2767 · Fax (919) 834-0234
Phone(919) 784-3023
Fax(919) 784-3497
Sole ProprietorNo
Enumeration DateJuly 9, 2006
Last NPPES UpdateNovember 6, 2007
✔ NPI 1356374680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NC · 38724
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4420 LAKE BOONE TRL, Raleigh, NC 27607
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Other Identifiers 3

Medicaid8984724NC
Medicare PIN2068724NC
Medicare UPINF20478

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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.

NADER CYRUS EMAMI-KELISHADI PA
Physician Assistant
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (703) 585-0860
ERIC LINTON
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOSHUA DAVID FISHER FNP
Nurse Practitioner (Family)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
MALLORY WOLTERING RN
Registered Nurse (Critical Care Medicine)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOHN O COLLINS M.D.
Psychiatry & Neurology (Neurology)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-7093
ERIN D RUSINEK PA-C
Physician Assistant
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818
DONNA RANSOM CRNA
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3034
JOELLEN C SPECA M.D.
Internal Medicine (Hematology & Oncology)
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818

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 Jennifer Vanvickle's NPI number?

The NPI number for Jennifer Vanvickle is 1356374680. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Jennifer Vanvickle located?

Jennifer Vanvickle practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3023.

What is Jennifer Vanvickle's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Jennifer Vanvickle accept?

Health plans from Blue Cross and Blue Shield of Texas list Jennifer Vanvickle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Vanvickle was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.