Individual provider Active NPI

Victoria Jacoby, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tavares, FL
National Provider Identifier
1124417142
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11011098 Issued in FL
Practice address
1599 Tropical CT Ste 8
Tavares, FL 32778-4323
Phone
(352) 316-7205
Fax
(870) 408-4059
NPI assigned
Jan 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004275 AR
Family Nurse Practitioner 363LF0000X 11011098 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11011098 FL Primary

Addresses

Primary practice location

1599 Tropical CT Ste 8
Tavares, FL 32778-4323

Mailing address

239 August Fern Loop
Mount Dora, FL 32757-2806
Phone (870) 278-7359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL, TX, NY, CO, CA, IA, NM8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20151102002436 AR Practitioner - Nurse Practitioner 5193035236 Reassigns benefits to 1 organization
I20210615001076 FL Practitioner - Nurse Practitioner 5193035236 Reassigns benefits to 6 organizations
I20240827004747 TX Practitioner - Nurse Practitioner 5193035236 Reassigns benefits to 1 organization
I20250418001377 NY Practitioner - Nurse Practitioner 5193035236 Reassigns benefits to 1 organization
I20250422001597 CO Practitioner - Nurse Practitioner 5193035236 Reassigns benefits to 1 organization
I20250424002091 CA Practitioner - Nurse Practitioner 5193035236 Reassigns benefits to 1 organization
I20250426000081 IA Practitioner - Nurse Practitioner 5193035236 Reassigns benefits to 1 organization
I20251105001956 NM Practitioner - Nurse Practitioner 5193035236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011098FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Care Specialists LLC CurrentSince May 5, 2021 Accepting new patients
Cogent Healthcare of Pensacola LLC Current Accepting new patients
East Arkansas Emergency Physicians, PLLC CurrentSince May 13, 2016 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Vizavee Urgent & Primary Care, LLC CurrentSince Nov 8, 2021 Accepting new patients
Florida Health Care LLC CurrentSince May 5, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Feb 1, 2022 Accepting new patients
Rmed LLC CurrentSince Jun 1, 2022 Accepting new patients
East Arkansas Emergency Physicians, PLLC CurrentSince May 13, 2016 Accepting new patients
Rmed LLC CurrentSince Jun 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Primarily You LLC Family CurrentSince Mar 1, 2022 Accepting new patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Feb 15, 2025 Accepting new patients

Locations

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

115 E 4th Ave
Ste 217
Mount Dora, FL 32757

18848 US Highway 441
Mount Dora, FL 32757
Phone (870) 278-7359

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

4669 E State Road 44
Ste 101
Wildwood, FL 34785
Phone (352) 399-7301

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Interoperability endpoints

  • Direct secure messaging: vjacoby@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/24264/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1124417142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AUGUST FERN LOOP",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572806",
            "telephone_number": "870-278-7359",
            "fax_number": "870-408-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 TROPICAL CT STE 8",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784323",
            "telephone_number": "352-316-7205",
            "fax_number": "870-408-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "VICTORIA",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004275",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011098",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11011098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.