Individual provider Active NPI

Victoria Lynn Anderson, CRNP

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1073797148
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC000267 Issued in MD
Practice address
10 Center Dr. MSC 1888, BLDG 10 Room 11N232
National Institutes of Health
Bethesda, MD 20892-1888
Phone
(301) 594-5932
NPI assigned
Dec 24, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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 AC000267 MD Primary

Addresses

Primary practice location

10 Center Dr. MSC 1888, BLDG 10 Room 11N232
National Institutes of Health
Bethesda, MD 20892-1888

Mailing address

10 Center Dr. MSC 1888, BLDG 10 Room 11N232
National Institutes of Health
Bethesda, MD 20892-1888
Phone (301) 594-5932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231019002931 MD Order and Referring Only - Nurse Practitioner 9032565585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC000267MDMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1073797148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DR. MSC 1888, BLDG 10 ROOM 11N232",
            "address_2": "NATIONAL INSTITUTES OF HEALTH",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921888",
            "telephone_number": "301-594-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR. MSC 1888, BLDG 10 ROOM 11N232",
            "address_2": "NATIONAL INSTITUTES OF HEALTH",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921888",
            "telephone_number": "301-594-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC000267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.