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

MS. Katherine Diaz Vickery, MD, MSC

Individual provider Family Medicine Physician · NPI 1538335146

MS. Katherine Diaz Vickery, MD, MSC is a Family Practice in Minneapolis, Minnesota. Graduated from University of Rochester School of Medicine and Dentistry in 2008, 18 years ago. Practices with Hennepin County, a 132-clinician group and accepts Medicare assignment. Licensed in Michigan and Minnesota.

Years since qualifying
18
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
MI, MN
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-6852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 52548 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301100106 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538335146
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MSC
Sole proprietorNo
NPI enumeratedMay 3, 2008
Last updated in NPPESJanuary 28, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 2008 (18 years in practice)
Group practice Hennepin County — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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