Individual provider Active NPI

Victoria Brooke Blaylock, FNP-C

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1144009143
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
236977 Issued in AR
Practice address
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone
(479) 314-6245
Fax
(479) 452-0275
NPI assigned
Sep 27, 2023
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 215360 OK
Family Nurse Practitioner 363LF0000X 236977 AR Primary

Addresses

Primary practice location

7301 Rogers Ave
Fort Smith, AR 72903-4100

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (479) 314-6245

Other practice location 1

340 S George Nigh Expy
McAlester, OK 74501-6075
Phone (918) 420-9854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 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
I20231117002192 OK Practitioner - Nurse Practitioner 5496103186 Reassigns benefits to 3 organizations
I20260511003937 AR Practitioner - Nurse Practitioner 5496103186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, shared by 35 NPIs, 212 clinicians

Practice addresses (Care Compare)

1505 E Main St
Stigler, OK 74462-2914
Phone (800) 640-9741

212 W Spaulding
Checotah, OK 74426-3806
Phone (800) 640-9741

220 S Van Buren St
Xpress Wellness Urgent Care
Enid, OK 73703-5812
Phone (580) 234-9355

340 S George Nigh Expy
McAlester, OK 74501-6075
Phone (918) 420-9854

701 W Ruth Ave
Xpress Wellness Urgent Care
Sallisaw, OK 74955-7273
Phone (918) 235-6622

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
236977ARMDFamily Nurse Practitioner
215360OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James Pritchett DO CurrentSince Aug 1, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 4, 2023 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 4, 2023 Accepting new patients
Stigler Health and Wellness Center Inc CurrentSince Jan 5, 2026 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

1817 Arlington St
Ada, OK 74820
Phone (580) 279-0985

151 S Mississippi Ave
Atoka, OK 74525
Phone (580) 239-9722

1002 W Gentry Ave
Ste A
Checotah, OK 74426
Phone (918) 473-0048

212 W Spaulding St
Checotah, OK 74426
Phone (918) 473-0048

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

340 S George Nigh Expy
McAlester, OK 74501
Phone (918) 420-9854

701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

1505 E Main St
Stigler, OK 74462
Phone (800) 640-9741

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1144009143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "479-314-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "479-314-6245",
            "fax_number": "479-452-0275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 S George Nigh Expy",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745016075",
            "country_code": "US",
            "telephone_number": "918-420-9854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "VICTORIA",
        "middle_name": "BROOKE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "215360",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "236977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.