Victoria Lee Eddy

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001210128 Issued in VA

Practice address

6150 College Dr
Suffolk, VA 23435-3684

Phone

(757) 638-2912

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite Aid of Virginia Inc

  • Community/Retail Pharmacy
  • Suffolk, VA
  • NPI 1528420130
  NPD (past)
• Rite Aid of Virginia Inc

  • Community/Retail Pharmacy
  • Grottoes, VA
  • NPI 1982319000
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1093473811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HUNTER LN",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112499",
            "telephone_number": "800-748-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 COLLEGE DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353684",
            "telephone_number": "757-638-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "VICTORIA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001210128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Adult Day Center LLC
• Debbie Ebel
• Ashley Ebron, BS, MA, BCBA, LBA
• Eckerd Corporation
• Eckerd Corporation
• Elizabeth Edens
• Rachel Larue Edmeyer, PA-C
• Omar Edmond
• Dana Edwards
• Jequan Torik Edwards

• Registered Nurse in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.