Individual provider Active NPI

Vicky Torres, NP-C

  • Family Nurse Practitioner
  • Live Oak, TX
National Provider Identifier
1154871101
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09161383 Issued in TX
Practice address
12412 Judson Rd
Live Oak, TX 78233-3255
Phone
(210) 757-7000
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F09161383 TX
Family Nurse Practitioner 363LF0000X F09161383 TX Primary

Addresses

Primary practice location

12412 Judson Rd
Live Oak, TX 78233-3255

Mailing address

13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (214) 712-2474

Other practice location 1

1500 Grand Central Ave Ste 115
Vienna, WV 26105-1079
Phone (304) 485-3627

Other identifiers 1

IdentifierTypeStateIssuer
1154871101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD, VA, WV, PA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20170323001669 TX Practitioner - Nurse Practitioner 2163707621 Reassigns benefits to 5 organizations
I20200922000017 MD Practitioner - Nurse Practitioner 2163707621 Reassigns benefits to 1 organization
I20210727000457 VA Practitioner - Nurse Practitioner 2163707621 Reassigns benefits to 1 organization
I20211111002730 WV Practitioner - Nurse Practitioner 2163707621 Reassigns benefits to 3 organizations
I20211210000869 PA Practitioner - Nurse Practitioner 2163707621 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09161383TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Maryland CurrentSince Aug 16, 2020 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jul 1, 2021 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Dec 3, 2021 Accepting new patients
Wvu Med Corp Cheat Lake Physicians CurrentSince Dec 8, 2024 Accepting new patients
West Virginia Health Care Cooperative Inc CurrentSince Aug 18, 2024 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Dec 3, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Dec 8, 2024 Accepting new patients
Heal Well Primary Care PC CurrentSince Mar 26, 2023 Accepting new patients
West Virginia University Medical Corporation Current Accepting new patients
Maverick Emergency Medicine Associates PA Nurse Practitioner CurrentSince Feb 13, 2017 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jul 1, 2021 Accepting new patients
Medexpress Urgent Care, PC - Maryland CurrentSince Aug 16, 2020 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Jul 15, 2023 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Medexpress Urgent Care, PC - Maryland Current Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Floresville Urgent Care Clinic CurrentSince Sep 15, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1741 Dual Hwy
Ste A
Hagerstown, MD 21740
Phone (301) 790-0254

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321

559 10th St
Ste 1
Floresville, TX 78114
Phone (830) 251-0777

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

4003 College Ave
#B
Bluefield, VA 24605
Phone (276) 322-2085

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

Organizations & group practices 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1154871101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401374",
            "telephone_number": "214-712-2474",
            "fax_number": "888-306-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 JUDSON RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333255",
            "telephone_number": "210-757-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Grand Central Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "WV",
            "postal_code": "261051079",
            "country_code": "US",
            "telephone_number": "304-485-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "VICKY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F09161383",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F09161383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154871101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.