Victoria Jacobsen Hart, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

200893 Issued in LA

Practice address

2390 W Congress St
Lafayette, LA 70506-4205

Phone

(337) 261-8526

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Victoria Jacobsen Hart Other name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vjacobsen1443591@direct.ochsner.org

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.

• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment NPD
• Congress Emergency Group LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1912316944
  Medicare reassignment
• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1205206422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SYLVESTER DR",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926656",
            "telephone_number": "337-298-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064205",
            "telephone_number": "337-261-8526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Rue Louis Xiv",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705085739",
            "country_code": "US",
            "telephone_number": "337-235-8007",
            "fax_number": "337-235-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "VICTORIA",
        "middle_name": "JACOBSEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "200893",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "HART",
            "middle_name": "JACOBSEN",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shantanna Faye Harrison, LPN
• Micah Bradley Harriss, P.T.
• Adrienne Reviere Harst, DDS
• Aaron Hart
• Jennifer Hart
• Tara Harvey-Gros, LOTR
• Anna Katherine Harvey
• Travondra Harvey
• Imani Lena Harvin
• Andrew R, Harwood, M.D.

• Physician Assistant in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.