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Deactivated NPI 1609074012 Deactivated / Inactive NPI Female Practitioner

Vickie A Martin , PA-C

Physician Assistant • Richland, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Vickie Martin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 06, 2007
NPI Deactivation Date March 14, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Vickie Martin, PA-C was a registered Physician Assistant practicing in Richland, WA. Throughout an active medical career spanning 15 years, Vickie Martin provided care at the practice location at 560 GAGE BLVD until profile deactivation on 2022-03-14.

Practice Location & Contact Primary Location

Practice Address

560 Gage Blvd
Suite 102

Richland, WA 99352

Telephone 5099423135
Fax 5096271188
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Richland, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
82 Specialists

Practicing in Richland, WA (3774 Statewide)

Telehealth Adoption Rate
14.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10004864

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Smita Sikhrakar , AGPCNP

Nurse Practitioner - Gerontology

NPI 1124596762
NPI 1134542608

Doctor of Pharmacy (Pharm.D.)

Sandra Soulek , PA

Physician Assistant - Medical

NPI 1467543355

Physician Assistant

Julie Holgado , NP

Nurse Practitioner - Gerontology

NPI 1487096269

Nurse Practitioner

NPI 1487790226

Doctor of Pharmacy (Pharm.D.)

Debra Berger , NP-C

Nurse Practitioner - Family

NPI 1508107087

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 14, 2022

Record deactivated on March 14, 2022

NPI Profile Active September 25, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 25, 2013

Registered at 560 GAGE BLVD, SUITE 102, RICHLAND, WA 99352 (Tel: 5099423135)

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Updated Business Mailing Address September 25, 2013

Registered at 3900 S ZINTEL WAY, KENNEWICK, WA 99338 (Tel: 5099423627)

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Provider Name / Credentials Updated September 25, 2013

Recorded as VICKIE MARTIN, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2013

Physician Assistant (License #PA10004864 in WA)

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Initial NPI Registration & Enumeration July 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609074012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2007
Last Update: September 25, 2013
Deactivation Date: March 14, 2022

Mailing Address

3900 S Zintel Way

Kennewick, WA 99338

Phone: 5099423627

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.