Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelique Vickie Cole

Individual provider Contractor · NPI 1811794597

Angelique Vickie Cole is a Contractor in Clearlake, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

3642 Blue Gum St
Clearlake, CA 95422-7939
Phone: (707) 266-9150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Contractor Taxonomy 171W00000X
Lodging Provider Taxonomy 177F00000X

Record details

NPI number1811794597
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 28, 2025
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025