Active NPI
Victoria L Michener, FNP
- Family Nurse Practitioner
- Plano, TX
National Provider Identifier
1023063336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 510452
- Practice address
- 6957 W Plano Pkwy Ste 2700
Plano, TX 75093-1626 - Phone
- (214) 808-3427
- Fax
- (972) 820-9495
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 510452 | TX | Primary |
Addresses
Primary practice location
6957 W Plano Pkwy Ste 2700
Plano, TX 75093-1626
Mailing address
6957 W Plano Pkwy Ste 2700
Plano, TX 75093-1626
Phone (214) 808-3427
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141155506 | Medicaid | TX | |
| 141155507 | Medicaid | TX | |
| 89N817 | Other | TN | BLUECROSS BLUESHIELD |
| 141155505 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denton Erdocs PA | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Denton, TX
- NPI 1295780906
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1023063336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6957 W PLANO PKWY STE 2700",
"city": "PLANO",
"state": "TX",
"postal_code": "750931626",
"telephone_number": "214-808-3427",
"fax_number": "972-820-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6957 W PLANO PKWY STE 2700",
"city": "PLANO",
"state": "TX",
"postal_code": "750931626",
"telephone_number": "214-808-3427",
"fax_number": "972-820-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHENER",
"first_name": "VICTORIA",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "510452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141155506",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141155507",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "89N817",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141155505",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.