VICTORIAN HEALTHCARE (NPI# 1437610334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437610334 |
| Entity Type | Organization |
| Organization Name | VICTORIAN HEALTHCARE |
| Other Organization Name | VICTORIAN HEALTHCARE |
| Practice Address |
2602 Martin Luther King Jr Blvd Dallas TX 75215-2309 |
| Mailing Address |
1436 Bobing Dr Lewisville TX 75067-6041 |
| Practice Telephone | 9404658760 |
| Mailing Telephone | 4693865733 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-05-30 |
| Authorized Official Name | NATHANIEL BURKS (CO-OWNER) |
| Authorized Official Telephone | 4693865733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Victorian Healthcare | Doing Business As Name - Organization |
| Street Address |
2602 MARTIN LUTHER KING JR BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75215-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033510979 | Lorraine Victorian-burks | Nurse Practitioner | 2602 Martin Luther King Jr Blvd, Dallas, TX 75215-2309 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245201 | Ursula Liliana Barrreto | Behavior Technician | 1999 Scott St, Suite 900, Dallas, TX 75215 | 2020-04-29 |
| 1811546278 | Nereca Carol Jones | Technician | 5011 Colonial Avenue, Dallas, TX 75215 | 2019-09-09 |
| 1356826838 | Sa Foundation for Humanity Inc | Dentist | 1100 S. Arkard Street, Suite 180, Dallas, TX 75215 | 2018-10-01 |
| 1043710049 | Lawanda Shed | Registered Nurse | 2622 Hatcher St, Dallas, TX 75215 | 2018-02-15 |
| 1598205973 | Royond Patrick-hendrix | Psychologist | 1409 S Lamar St Apt 307, Dallas, TX 75215 | 2017-03-03 |
| 1760830566 | Medchiro Injury Rehab LLC | Chiropractor | 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 | 2016-06-02 |
| 1245580315 | Irfan Jadavji | Family Medicine | 2922-b Martin Luther King, Jr. Blvd, Dallas, TX 75215 | 2012-09-14 |
| 1982904165 | Malcolm X Pediatric Clinic | Clinic/Center | 4432 Malcolm X Blvd., Dallas, TX 75215 | 2010-10-22 |
| 1750693669 | Lyric Dion Day | Registered Nurse | 2922 Martin Luther King Jr Blvd #124, Dallas, TX 75215 | 2010-07-08 |
| 1477759272 | Shang's Garden, Inc | Assisted Living Facility | 2617 Birmingham, Dallas, TX 75215 | 2007-06-27 |
| Find all providers in zip 75215 | ||||
| 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 |
|---|---|---|---|---|
| 1366052805 | Deadra Jordan | Nurse Practitioner | 5995 Summerside Dr Unit 795142, Dallas, TX 75379-0095 | 2020-08-07 |
| 1083235691 | Annemarie Osondu Odo | Nurse Practitioner | 9450 Skillman St Ste 120, Dallas, TX 75243-8235 | 2020-05-05 |
| 1740811934 | Kellie Lynn Westmoreland | Nurse Practitioner | 7777 Forest Ln Ste 833, Dallas, TX 75230-2571 | 2020-01-28 |
| 1346871696 | Ebote Ngite Nnoko | Nurse Practitioner | 108 Crescent Woode Dr, Dallas, GA 30157-5725 | 2020-01-27 |
| 1689238461 | Ican Medics and Psych Services Pllc | Nurse Practitioner | 9535 Forest Ln Ste 109, Dallas, TX 75243-5934 | 2019-04-26 |
| 1942773643 | Jo Kutty Kurian | Nurse Practitioner | 6363, Forest Park Road, 7th Floor, Suite 749, Dallas, TX 75390-9121 | 2019-01-04 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1114495983 | Nwamaka Ngumezi | Nurse Practitioner | 3417 Gaston Ave Ste 815, Dallas, TX 75246-2034 | 2018-11-08 |
| 1811406150 | Justin Neal Mehan | Nurse Practitioner | 712 N Washington Ave Ste 411, Dallas, TX 75246-1626 | 2017-09-28 |
| 1114321775 | Shane Tipton | Nurse Practitioner | 6363 Forest Park Road 7th Floor Ste 749, Dallas, TX 75390-4426 | 2014-10-10 |
| Find all providers in DALLAS | ||||
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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.