KENZIE K VICKERS
NPI 1669217378
Student in an Organized Health Care Education/Training Program in Terre Haute, IN

Active since June 26, 2024PECOS Enrolled
1433 N 6TH 1/2 ST, TERRE HAUTE, IN 47807(812) 237-7609 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2024, Jun 26, 2024 (2 updates tracked since 2024).

About Kenzie K Vickers NPPES

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

KENZIE K VICKERS (NPI 1669217378) is an individual student in an organized health care education/training program in Terre Haute, Indiana and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669217378
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENZIE K VICKERS
Location Address1433 N 6TH 1/2 STTerre Haute, IN 47807-1037
Mailing Address1433 N 6th 1/2 StTerre Haute, IN 47807-1037 · (812) 237-7609
Sole ProprietorNo
Enumeration DateJune 26, 2024
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
NPI 1669217378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1433 N 6TH 1/2 ST, Terre Haute, IN 47807

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenzie K Vickers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

Student in an Organized Health Care Education/Training Program
1433 N 6TH 1/2 ST
TERRE HAUTE, IN 47807
Student in an Organized Health Care Education/Training Program
1433 N 6TH 1/2 ST
TERRE HAUTE, IN 47807
Student in an Organized Health Care Education/Training Program
1433 N 6TH 1/2 ST
TERRE HAUTE, IN 47807

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669217378, enumerated as an "individual" on June 26, 2024.

The provider is located at 1433 N 6TH 1/2 ST TERRE HAUTE, IN 47807 and the phone number is (812) 237-7609.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.