MRS. VICTORIA L. CARROLL (NPI# 1427501857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427501857 |
| Entity Type | Individual |
| Full Name | MRS. VICTORIA L. CARROLL |
| Other Name | MRS. TORI L. CARROLL |
| Credential | MSN, PMHNP-BC, RN |
| Practice Address |
58 Timber Creek Dr Cordova TN 38018-4233 |
| Practice Telephone | 9015661002 |
| Practice Fax Number | 9015661951 |
| Mailing Telephone | 9015661002 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
901673 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q025591 | 05 | |
| MS | 08934772 | 05 | |
| MS | MEDICARE MS | 541991YSWN | 01 |
| TN | MEDICARE TN | 1035I00515 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5185 Getwell Rd, Southaven, MS 386719691 | 6623496385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265775787 | Victoria A Carroll | Counselor | 4407 N Division St Ste 801, Spokane, WA 99207-1660 | 2013-04-03 |
| 1003089517 | Victoria Carroll | Psychiatry & Neurology | 1003 12th St, Butner, Butner, NC 27509-1626 | 2008-04-04 |
| 1356395735 | Victoria Lynn Carroll | Emergency Medicine | 46 Wesley Rd, Daleville, VA 24083-3082 | 2006-05-20 |
| Street Address |
58 TIMBER CREEK DR |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548229131 | Healthquest PC | Clinic/Center | 58 Timber Creek Dr, Cordova, TN 38018-4233 | 2006-03-21 |
| 1598144636 | Landon Self | Counselor | 58 Timber Creek Dr, Cordova, TN 38018-4233 | 2015-05-21 |
| 1285056697 | Healthquest PC | Counselor | 58 Timber Creek Dr, Cordova, TN 38018-4233 | 2014-01-21 |
| 1720395213 | Glenda Dianne Zimmerman | Social Worker | 58 Timber Creek Dr, Cordova, TN 38018-4233 | 2010-09-07 |
| 1891946687 | First Pharmacy Services of Healthquest | Pharmacy | 58 Timber Creek Dr, Cordova, TN 38018-4233 | 2008-10-10 |
| 1295930204 | Patrick Hogan Hopper | Counselor | 58 Timber Creek Dr, Cordova, TN 38018-4233 | 2007-06-19 |
| 1780899708 | Ron Chipman | Pharmacist | 58 Timber Creek Dr, Cordova, TN 38018-4233 | 2007-05-12 |
| 1922126580 | Christine Marie Wade | Counselor | 58 Timber Creek Dr, Cordova, TN 38018-4233 | 2007-03-26 |
| 1730233321 | Ashok B. Rao | Psychiatry & Neurology | 58 Timber Creek Dr, Cordova, TN 38018-4233 | 2007-01-22 |
| 1962576173 | Trina Marie Middleton | Social Worker | 58 Timber Creek Dr, Cordova, TN 38018-4233 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679101190 | Asparkle Inclusive Care, LLC | Nurse Practitioner | 1204 N Houston Levee Rd Ste 115, Cordova, TN 38018-6687 | 2020-03-30 |
| 1992338719 | Derrick Meadow | Nurse Practitioner | 8130 Country Village Dr Ste 103, Cordova, TN 38016-2087 | 2020-02-20 |
| 1538627781 | Hortense K Bissila | Nurse Practitioner | 1750 Lichfield Ct, Cordova, TN 38016-3561 | 2019-03-06 |
| 1982154936 | Kristin Kathleen Stewart | Nurse Practitioner | 154 Timber Creek Dr Ste 2, Cordova, TN 38018-4252 | 2016-10-13 |
| 1376658062 | Lisa Drewry Williams | Nurse Practitioner | 8316 Macon Ter, Ste 103, Cordova, TN 38018-8505 | 2006-08-20 |
| 1942315627 | Richard Dean Sykes | Nurse Practitioner | 8289 Cordova Rd Ste 106, Cordova, TN 38016-2090 | 2006-08-20 |
| 1558394395 | Kimberly Hatler | Nurse Practitioner | 1660 Bonnie Ln, Suite 105, Cordova, TN 38016-0518 | 2006-07-07 |
| 1164417127 | Mark Allen Hesselrode | Nurse Practitioner | 8289 Cordova Rd #106, Cordova, TN 38016 | 2005-09-15 |
| 1558960310 | Emily Pecaitis | Nurse Practitioner | 8336 Macon Rd, Cordova, TN 38018-8554 | 2020-10-22 |
| 1114565538 | Lashandra Nicole Saulsberry | Nurse Practitioner | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-12-16 |
| Find all providers in CORDOVA | ||||
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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.