Individual provider Active NPI

Ventricia Victor, F.N.P.

  • Family Nurse Practitioner
  • Palm Springs, FL
National Provider Identifier
1225319783
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9438323 Issued in FL
Practice address
2677 Forest Hill Blvd Ste 125
Palm Springs, FL 33406-5941
Phone
(561) 855-8647
Fax
(561) 855-8872
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9438323 FL Primary
Family Nurse Practitioner 363LF0000X F336427-1 NY

Addresses

Primary practice location

2677 Forest Hill Blvd Ste 125
Palm Springs, FL 33406-5941

Mailing address

101 Plaza Real S Apt 916
Boca Raton, FL 33432-4887
Phone (631) 291-2830

Other identifiers 2

IdentifierTypeStateIssuer
025168800MedicaidFL
03394543MedicaidNY

Other names 1

  • Ventricia Harris-Victor Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20121128000088 NY Practitioner - Nurse Practitioner 0446401335 Reassigns benefits to 1 organization
I20181107003024 FL Practitioner - Nurse Practitioner 0446401335 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9438323FLMDFamily Nurse Practitioner
F336427-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azulla Community Health Center, Inc CurrentSince Jan 28, 2024 Accepting new patients
Atrinity Point Health Center, LLC CurrentSince Mar 1, 2020 Accepting new patients
Comprehensive Medical Services New York 2008, PLLC CurrentSince Sep 24, 2012 Accepting new patients
Trinity Point Medical Center CurrentSince Apr 10, 2018 Accepting new patients

Locations

914 Hartford Tpke
Ste 103
Waterford, CT 06385
Phone (860) 319-5620

3601 W Commercial Blvd
Ste 26
Fort Lauderdale, FL 33309
Phone (954) 739-3880

2311 10th Ave N
Ste 4
Lake Worth, FL 33461
Phone (561) 232-8855

8304 W Oakland Park Blvd
Sunrise, FL 33351
Phone (561) 725-4971

2677 Forest Hill Blvd
Ste 125
West Palm Beach, FL 33406
Phone (561) 855-8647

24050 Commerce Park
Ste 100
Beachwood, OH 44122
Phone (216) 593-0915

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1225319783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLAZA REAL S APT 916",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324887",
            "telephone_number": "631-291-2830",
            "fax_number": "561-465-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 FOREST HILL BLVD STE 125",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065941",
            "telephone_number": "561-855-8647",
            "fax_number": "561-855-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "VENTRICIA",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9438323",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336427-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025168800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03394543",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENTRICIA",
            "last_name": "HARRIS-VICTOR",
            "credential": "F.N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.