Vicky Lolo a Professional Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VICKY LOLO A PROFESSIONAL NURSING CORPORATION

Practice address

2323 Broadway
Oakland, CA 94612-2414

Phone

(415) 449-5097

NPI assigned

Nov 7, 2023

Organization subpart

No

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

Authorized official

Name

Victoria Omeri, APRNNPI 1609437235

Title

President

Phone

(415) 449-5097

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Omeri, MSN, FNP-BC PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1609437235

  Multi-Specialty, NV

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1144094582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122414",
            "telephone_number": "415-449-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122414",
            "telephone_number": "415-449-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKY LOLO A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "OMERI",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-449-5097",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott P Vichinsky, MD
• Rebecca Margaret Vick, LCSW
• Amanda Kaye Vickers, ARNP
• Brittany Vickers
• Carol Vickers
• Victor Community Support Services, Inc.
• Amy Victorino, RDA
• Gregory P Victorino, M.D.
• Denis Cornelio Vidal, ASW
• Julienne Vidal

• Psychiatric/Mental Health Nurse Practitioner in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.