Taylor Vickers, PA-C
Taylor Vickers, PA-C is a Physician Assistant in Nampa, Idaho. Graduated from University of Texas Medical Branch at Galveston in 2020, 6 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Texas.
- Years since qualifying
- 6
- Trained at
- University of Texas Medical Branch at Galveston
- Licensed in
- ID, TX
- In the registry since
- 2020
- Specialties on file
- 4
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
9850 W St Lukes DrNampa, ID 83687-7912
Phone: (208) 205-7282
Fax: (208) 205-7591
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 6720 Bertner Ave, Houston, TX 77030-2604 — (832) 355-1000
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 4161079 (ID) |
|---|---|
| Basic Emergency Medical Technician | Taxonomy 146N00000X · Licence 745200 (TX) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA13966 (TX) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA13966 (TX) |
Record details
| NPI number | 1164046702 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 29, 2020 |
| Last updated in NPPES | January 9, 2025 |
| Certification date | January 9, 2025 |
| Mailing address | 190 E Bannock St, Boise, ID 83712-6241 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduated | 2020 (6 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |