Active NPI
Victoria Gill, BSN RN
- Registered Nurse
- Detroit, MI
National Provider Identifier
1235393943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704119518
- Practice address
- Northeast Health Center 5400 East Seven Mile
Room 11
Detroit, MI 48234 - Phone
- (313) 870-3042
- Fax
- (313) 368-4694
- NPI assigned
- Jul 11, 2008
- Last updated
- Jul 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704119518 | MI | Primary |
| Community Health Registered Nurse | 163WC1500X | 4704119518 | MI |
Addresses
Primary practice location
Northeast Health Center 5400 East Seven Mile
Room 11
Detroit, MI 48234
Mailing address
Northeast Health Center 5400 East Seven Mile
Room 11
Detroit, MI 48234
Phone (313) 870-3042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704119518 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1235393943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTHEAST HEALTH CENTER 5400 EAST SEVEN MILE",
"address_2": "ROOM 11",
"city": "DETROIT",
"state": "MI",
"postal_code": "48234",
"telephone_number": "313-870-3042",
"fax_number": "313-368-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTHEAST HEALTH CENTER 5400 EAST SEVEN MILE",
"address_2": "ROOM 11",
"city": "DETROIT",
"state": "MI",
"postal_code": "48234",
"telephone_number": "313-870-3042",
"fax_number": "313-368-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "VICTORIA",
"name_prefix": "Ms.",
"credential": "BSN RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704119518",
"primary": true
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MI",
"license": "4704119518",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.