Individual provider Active NPI

Victoria A Kirby, ARNP

  • Family Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1194752691
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041331-23-03 Issued in NH
Practice address
Willowbend Family Practice
5 Washington Place
Bedford, NH 03110
Phone
(603) 663-8060
Fax
(603) 663-8066
NPI assigned
Jun 28, 2006
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 041331-23-03 NH Primary

Addresses

Primary practice location

Willowbend Family Practice
5 Washington Place
Bedford, NH 03110

Mailing address

Willowbend Family Practice
5 Washington Place
Bedford, NH 03110
Phone (603) 663-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050419000055 NH Practitioner - Nurse Practitioner 2860430196 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Apr 1, 2006 Accepting new patients
Catholic Medical Center CurrentSince Apr 1, 2006 Accepting new patients
Elliot Physicians Network Past Accepting new patients
Catholic Medical Center Ppa Past Accepting new patients

Locations

20 Washington Pl
Bedford, NH 03110
Phone (603) 644-5900

20 Washington Pl
Ste 1
Bedford, NH 03110
Phone (603) 644-5133

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1194752691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WILLOWBEND FAMILY PRACTICE",
            "address_2": "5 WASHINGTON PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-663-8060",
            "fax_number": "603-663-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILLOWBEND FAMILY PRACTICE",
            "address_2": "5 WASHINGTON PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-663-8060",
            "fax_number": "603-663-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "041331-23-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.