VICKI MCKISSICK
NPI 1558837104
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Nashville, TN

Active since October 22, 2018
2131 MURFREESBORO PIKE STE 210, NASHVILLE, TN 37217(615) 715-1182 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Vicki Mckissick NPPES

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

VICKI MCKISSICK (NPI 1558837104) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Nashville, Tennessee, licensed in Tennessee (L000000017408) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1558837104
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameVICKI MCKISSICK
Location Address2131 MURFREESBORO PIKE STE 210Nashville, TN 37217-6306
Mailing Address2131 Murfreesboro Pike Ste 210Nashville, TN 37217-6306 · (615) 715-1182
Sole ProprietorYes
Enumeration DateOctober 22, 2018
NPI 1558837104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in TN · L000000017408
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
2131 MURFREESBORO PIKE STE 210, Nashville, TN 37217

Other Identifiers 1

MedicaidQO21777TN

Other Providers at the Same Location NPPES

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

In Home Supportive Care
2131 MURFREESBORO PIKE STE 210
NASHVILLE, TN 37217

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 Vicki Mckissick's NPI number?

The NPI number for Vicki Mckissick is 1558837104. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Vicki Mckissick located?

Vicki Mckissick practices at 2131 Murfreesboro Pike Ste 210, Nashville, TN 37217. The listed phone number is (615) 715-1182.

What is Vicki Mckissick's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Vicki Mckissick was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.