Active NPI
Victoria Harrison Mims, FNP-C
- Nurse Practitioner
- Baton Rouge, LA
National Provider Identifier
1194477513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 224005
- Practice address
- 1857 Wooddale Blvd
Baton Rouge, LA 70806-1510 - Phone
- (800) 640-3451
- NPI assigned
- Jan 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 224005 | LA | Primary |
Addresses
Primary practice location
1857 Wooddale Blvd
Baton Rouge, LA 70806-1510
Mailing address
PO Box 1200
Pleasant Grove, UT 84062-1200
Phone (800) 640-3451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
Baton Rouge, LA 70806
Phone (800) 640-3451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer J Hardenbrook MD PC | Current | Accepting new patients |
Locations
1857 Wooddale Blvd
Baton Rouge, LA 70806
Phone (225) 667-0366
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1194477513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1200",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840621200",
"telephone_number": "800-640-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1857 WOODDALE BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708061510",
"telephone_number": "800-640-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMS",
"first_name": "VICTORIA",
"middle_name": "HARRISON",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "224005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.