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

Domonique Vickers

Individual provider Family Nurse Practitioner · NPI 1306419098

Domonique Vickers is a Nurse Practitioner in Ruskin, Florida. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

15418 Fire Rock Pl
Ruskin, FL 33573-0196
Phone: (813) 498-9937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11005306 (FL)

Record details

NPI number1306419098
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2021
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021
Mailing address15418 Fire Rock Pl, Ruskin, FL 33573-0196

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ruskin