MRS. MA VICTORIA AQUINO KHERA (NPI# 1508301649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508301649 |
| Entity Type | Individual |
| Full Name | MRS. MA VICTORIA AQUINO KHERA |
| Other Name | MA VICTORIA VILLANUEVA AQUINO |
| Credential | AGPCNP-BC |
| Practice Address |
2467 Golden Camp Rd Augusta GA 30906-5515 |
| Mailing Address |
608 Burgamy Pass Grovetown GA 30813-5855 |
| Practice Telephone | 7067904440 |
| Mailing Telephone | 7146245631 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
243278 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
243278 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
243278 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2467 GOLDEN CAMP RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902824618 | Neighborhood Improvement Project, Inc. | Clinic/Center | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2006-07-18 |
| 1528615713 | Jennifer Madore | Dietitian, Registered | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2019-08-22 |
| 1003302167 | Veronica Meardith | Nurse Practitioner | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2018-07-02 |
| 1699219055 | Tonya Maria Heath | Registered Nurse | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2016-12-05 |
| 1770033904 | Keith Raymond Sterett | Physician Assistant | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2016-10-12 |
| 1457809642 | Marie Michel | Counselor | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2016-09-15 |
| 1811441066 | Denise Hamrick | Nurse Practitioner | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2016-08-04 |
| 1700292968 | Neighborhood Improvement Project Inc | Pharmacy | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2014-07-09 |
| 1841619772 | Porscha Dickens Campbell | Psychiatry & Neurology | 2467 Golden Camp Rd, Augusta, GA 30906 | 2014-04-08 |
| 1861746745 | Kenennesha Latasha Mitchell | Emergency Medical Technician, Intermediate | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2012-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| 1316113913 | Jenny Lee Charles | Nurse Practitioner | 711 4th St, Augusta, GA 30901-2403 | 2008-05-03 |
| 1649330622 | Laurie Ann Conn | Nurse Practitioner | 3092 Leaflet Way, Augusta, GA 30909-1714 | 2006-12-11 |
| 1528098225 | Azerlea Bryant | Nurse Practitioner | 1 Togus Circle, 107f, Augusta, ME 04330-9929 | 2006-07-05 |
| 1811993926 | Mary Jo Goolsby | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2005-06-23 |
| 1669030995 | Vicki Scott | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2019-06-01 |
| 1346714524 | Daniel Haynia | Nurse Practitioner | 987 Saint Sebastian Way, Augusta, GA 30912-2613 | 2019-01-22 |
| 1912471731 | Krista Lee Vernon | Nurse Practitioner | 1120 15th St # 6518, Augusta, GA 30912-0004 | 2019-01-15 |
| 1073054813 | Regina Clark Canty | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-5887 | 2017-03-13 |
| 1659726917 | Veronica Sampson | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-4035 | 2016-04-24 |
| Find all providers in AUGUSTA | ||||
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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.