Active NPI
Victoria Elridge
- Occupational Therapist
- Lexington, KY
National Provider Identifier
1033424965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R3800
- Practice address
- 2024 Willis Dr
Lexington, KY 40511-1181 - Phone
- (502) 744-8166
- NPI assigned
- Aug 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | R3800 | KY | Primary |
Addresses
Primary practice location
2024 Willis Dr
Lexington, KY 40511-1181
Mailing address
2024 Willis Dr
Lexington, KY 40511-1181
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3800 | KY | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1033424965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 WILLIS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 WILLIS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111181",
"telephone_number": "502-744-8166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELRIDGE",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-16",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R3800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.