Individual provider Active NPI

Victorine Tebong, FNP-C

  • Family Nurse Practitioner
  • Cedar Hill, TX
National Provider Identifier
1093344400
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144678 Issued in TX
Practice address
630 N Highway 67 Ste 5B
Cedar Hill, TX 75104-2156
Phone
(972) 408-6653
Fax
(214) 827-3671
NPI assigned
Apr 7, 2020
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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 AP144678 TX Primary

Addresses

Primary practice location

630 N Highway 67 Ste 5B
Cedar Hill, TX 75104-2156

Mailing address

5928 Summerwood Dr
Grand Prairie, TX 75052-0436
Phone (972) 408-6653

Other practice location 1

1213 E Trinity Mills Rd Ste 173
Carrollton, TX 75006-1446
Phone (972) 962-1296

Other practice location 2

9991 Marsh Ln Ste 100
Dallas, TX 75220-1763
Phone (214) 526-6851

Other practice location 3

8840 Benbrook Blvd Ste 101
Benbrook, TX 76126-2173
Phone (817) 813-7101

Other practice location 4

4801 S Cooper St Ste 401
Arlington, TX 76017-5963
Phone (817) 813-7100

Other practice location 5

2815 S Hampton Rd
Dallas, TX 75224-2329
Phone (214) 330-0137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201008002562 TX Practitioner - Nurse Practitioner 3072607894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Home Primary Care DoctorGroup PAC ID 0143674507, 2 clinicians

Practice addresses (Care Compare)

630 N Hwy 67
Cedar Hill, TX 75104-2156
Phone (469) 745-4472

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144678TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Primary Care Doctor Family CurrentSince Apr 1, 2025 Accepting new patients
Odette Louise Campbell MD PA CurrentSince Jun 20, 2025 Accepting new patients
1St Precious Health Services Inc. CurrentSince Jun 13, 2006 Accepting new patients
Topcare Medical PA PastSince Apr 22, 2014 Accepting new patients
Topcare Medical Group Inc PastSince Jun 1, 2021 Accepting new patients

Locations

630 N Highway 67
Cedar Hill, TX 75104
Phone (469) 745-4472

630 N Highway 67
Ste 5B
Cedar Hill, TX 75104

5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
1St Precious Home Healthcare AgencyGrand Prairie, TX, CCN 679770 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Jun 13, 2006
Jun 13, 2006
Jun 13, 2006
Imanuel Health ServicesRowlett, TX, CCN 747496 Home health agency 5% Or Greater Direct Ownership Interest (5%) May 4, 2016
Jacop Healthcare Services IncGrand Prairie, TX, CCN 747598 Home health agency Corporate Director Mar 2, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1093344400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5928 SUMMERWOOD DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520436",
            "telephone_number": "972-408-6653",
            "fax_number": "214-827-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N HIGHWAY 67 STE 5B",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042156",
            "telephone_number": "972-408-6653",
            "fax_number": "214-827-3671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 E Trinity Mills Rd Ste 173",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750061446",
            "country_code": "US",
            "telephone_number": "972-962-1296",
            "fax_number": "469-340-4129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9991 Marsh Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752201763",
            "country_code": "US",
            "telephone_number": "214-526-6851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8840 Benbrook Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Benbrook",
            "state": "TX",
            "postal_code": "761262173",
            "country_code": "US",
            "telephone_number": "817-813-7101",
            "fax_number": "817-382-5458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 S Cooper St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760175963",
            "country_code": "US",
            "telephone_number": "817-813-7100",
            "fax_number": "817-382-5458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2815 S Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752242329",
            "country_code": "US",
            "telephone_number": "214-330-0137",
            "fax_number": "214-333-7343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEBONG",
        "first_name": "VICTORINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.