Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
CHAD RANDAL VICKERS
Active
Individual
CHAD RANDAL VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
706002
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6371
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
706002
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
L8-0000171
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780753681
—
MN
05
—
182997001
—
TX
05
—
182997003
—
TX
05
—
200101760A
—
OK
01
—
868N62
BCBS
TX
01
—
P01078815
RAILROAD MEDICARE
TX
Enumeration date
11/06/2006
Last updated
04/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up