VICTORIA LYNN HINES (NPI# 1013424530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013424530 |
| Entity Type | Individual |
| Full Name | VICTORIA LYNN HINES |
| Credential | NP |
| Practice Address |
100 Medical Plz Lake St Louis MO 63367-1366 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 6366255200 |
| Practice Fax Number | 6366255314 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2018002043 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 1st Capitol Dr, Saint Charles, MO 633012844 | 6369475000 | 6369475090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144730177 | Victoria Hines | Behavioral Analyst | 16w361 S Frontage Rd Ste 131, Burr Ridge, IL 60527-5816 | 2017-10-04 |
| 1912218074 | Victoria Hollis Hines | Optometrist | 2603 Moody Pkwy, Moody, AL 35004-3062 | 2010-06-23 |
| Street Address |
100 MEDICAL PLZ |
| City | LAKE ST LOUIS |
| State | MO |
| Zip Code | 63367-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818222 | Melissa Colleen Hynes | Speech-Language Pathologist | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2020-10-11 |
| 1073110367 | Abigail Elizabeth Malloy | Dietitian, Registered | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2020-10-08 |
| 1639718984 | Cheryl Akers | Family Medicine | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2020-01-03 |
| 1982259305 | Cep America LLC | Emergency Medicine | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2019-08-02 |
| 1164084711 | Laboratory Corporation of America | Clinical Medical Laboratory | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2019-07-03 |
| 1174007868 | Takeysha Laray Lowe | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-09-19 |
| 1275027336 | Brianne Nicole Rigg | Dietitian, Registered | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-06-21 |
| 1316455959 | Audrey Anne Bolden | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-01-17 |
| 1942724786 | Sara Jane Daniels | Speech-Language Pathologist | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2017-08-02 |
| 1104340223 | Samantha Lukert | Speech-Language Pathologist | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2017-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
| 1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
| 1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
| 1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
| 1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
| 1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
| 1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
| 1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
| 1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
| 1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
| Find all providers in zip 63367 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316455959 | Audrey Anne Bolden | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2018-01-17 |
| 1548791676 | Forest Physician Services, LLP | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2017-03-21 |
| 1508307190 | Jeff Ditter | Nurse Practitioner | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2017-03-15 |
| 1821286741 | Regene Boon | Nurse Practitioner | 10890 Veterans Memorial Pkwy, Lake St Louis, MO 63367-1475 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899614 | Holly Maria Adams | Nurse Practitioner | 724 Highway H, Neelyville, MO 63954-9206 | 2020-10-22 |
| 1235737982 | Katie Ann Allen | Nurse Practitioner | 24583 Tigger, Saint Robert, MO 65584-3806 | 2020-10-14 |
| 1184221160 | Zachary Wade Orr | Nurse Practitioner | 1622 S 18th St, Saint Louis, MO 63104-2504 | 2020-10-02 |
| 1538766514 | Martha Lorraine Courdin-whitson | Nurse Practitioner | 386 Caudill Way, Branson, MO 65616-8686 | 2020-10-02 |
| 1225645393 | Carlee Rozell | Nurse Practitioner | 2522 Equine Valley Rd, Nixa, MO 65714-6101 | 2020-09-23 |
| 1841806551 | Pamela Louise Smith | Nurse Practitioner | 1605 E Broadway Ste 100, Columbia, MO 65201-8023 | 2020-09-17 |
| 1073128518 | Christen Rincker | Nurse Practitioner | 2343 Hickory St, Saint Louis, MO 63104-2418 | 2020-09-11 |
| 1396357141 | Melissa Ann Lovins-bewley | Nurse Practitioner | 14484 County Road 640, Dexter, MO 63841-8667 | 2020-08-21 |
| 1508477688 | Jessica Nicole Whiteman | Nurse Practitioner | 3110 Duncan St, Saint Joseph, MO 64507-1863 | 2020-08-12 |
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ST LOUIS |
| Zip Code | 63367 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.