NPIMap

Organization Active NPI

Victorybridge Healthcare, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver City, NM
National Provider Identifier
1043091853
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VICTORYBRIDGE HEALTHCARE, LLC
Practice address
1720 E 32ND St
Silver City, NM 88061-8304
Phone
(202) 413-2078
NPI assigned
Oct 9, 2023
Last updated
Mar 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victoria Agbonma Odocha, PMHNPNPI 1316635626
Title
Director
Phone
(202) 413-2078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1720 E 32ND St
Silver City, NM 88061-8304

Mailing address

1914 Rosebay CT
Sugar Land, TX 77479-4037
Phone (202) 413-2078

Other practice location 1

11224 Southwest Fwy Ste 250-6
Houston, TX 77031-3629
Phone (202) 413-2078

National Provider Directory

National Provider Directory

Locations

1720 E 32nd St
Silver City, NM 88061
Phone (202) 413-2078

17211 W Grand Pkwy S
Ste L2
Sugar Land, TX 77479

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742083200000",
    "number": "1043091853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 ROSEBAY CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794037",
            "telephone_number": "202-413-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880618304",
            "telephone_number": "202-413-2078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11224 Southwest Fwy Ste 250-6",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770313629",
            "country_code": "US",
            "telephone_number": "202-413-2078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICTORYBRIDGE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A",
        "authorized_official_last_name": "ODOCHA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "AGBONMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-413-2078",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.