Individual provider Active NPI

Victoria Guillozet

  • Family Nurse Practitioner
  • Okemos, MI
National Provider Identifier
1073378980
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035889 Issued in OH
Practice address
2222 W Grand River Ave Ste a
Okemos, MI 48864-1604
Phone
(517) 273-1540
NPI assigned
Feb 20, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0035889 OH Primary

Addresses

Primary practice location

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604

Mailing address

824 Main St
Milford, OH 45150-1726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240312001756 OH Practitioner - Nurse Practitioner 6002252111 Reassigns benefits to 1 organization
I20241202000628 MI Practitioner - Nurse Practitioner 6002252111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avanti Wound Physicians, PLLC.Group PAC ID 7810251782, 2 clinicians

Practice addresses (Care Compare)

2222 W Grand River Ave
Suite a
Okemos, MI 48864-1604
Phone (630) 686-2134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035889OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avanti Wound Physicians, PLLC. CurrentSince Nov 1, 2024 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Feb 16, 2024 Accepting new patients

Locations

4 E Ogden Ave
Ste 348
Westmont, IL 60559

2222 W Grand River Ave
Ste A
Okemos, MI 48864
Phone (734) 602-4635

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

824 Main St
Milford, OH 45150
Phone (513) 774-5606

Interoperability endpoints

  • Direct secure messaging: victoria.voss@krogerhealth.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1073378980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MAIN ST",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "517-273-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLOZET",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.