IndividualActive
Nelson Vick, MD
NPI 1760046130 · Pediatrics Physician · Joint Base Lewis Mcchord, WA
Provider details
- NPI number
- 1760046130
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD61351689 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9040a Jackson Avenue
Joint Base Lewis Mcchord, WA 98431-0004
Phone: (253) 968-3496
Street-level locationGet directions
Mailing address
5406 Balustrade Blvd Se
Lacey, WA 98513-5032
Registry dates
- Enumerated
- 2019-04-30
- Last updated
- 2023-06-16
- Certified
- 2023-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.