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DR. NATHAN VICKNAIR STUDENT
NPI 1376171298
Student in an Organized Health Care Education/Training Program in Pueblo, CO

Active since March 27, 2020
400 W 16TH ST, PUEBLO, CO 81003(719) 584-4000 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nathan Vicknair Student NPPES

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

DR. NATHAN VICKNAIR STUDENT (NPI 1376171298) is an individual student in an organized health care education/training program in Pueblo, Colorado and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1376171298
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NATHAN VICKNAIRCredential: STUDENT
Location Address400 W 16TH STPueblo, CO 81003-2745
Mailing Address216 W 10th Ave Ste 202Kennewick, WA 99336-6304 · (509) 221-5510
Phone(719) 584-4000
Sole ProprietorNo
Enumeration DateMarch 27, 2020
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1376171298 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.
400 W 16TH ST, Pueblo, CO 81003
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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.

MISS EMILY ANNE KEARNEY RDN
Dietitian, Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4994
CHRISTOPHER JON STARK
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-2218
MARY RUSSO DO
Emergency Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4306
DR. DARYA BLEDNOVA MD
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (970) 624-2403
LARA KJURSTON KNOWLES CRNA
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4000
KAYLA TOENNIS DO
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-7585
DR. SHAUN MICHAEL PITTS DO
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-7585
JAMIE YI
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4000

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 Nathan Vicknair's NPI number?

The NPI number for Nathan Vicknair is 1376171298. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Nathan Vicknair located?

Nathan Vicknair practices at 400 W 16th St, Pueblo, CO 81003. The listed phone number is (719) 584-4000.

What is Nathan Vicknair'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 Nathan Vicknair was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.