Victoria Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VICTORIA HEALTH AND WELLNESS LLC

Practice address

2502 Silverside Rd Ste 6
Wilmington, DE 19810-3740

Phone

(484) 340-9768

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Olamide Vincent, CRNPNPI 1013474238

Title

Nurse Practitioner

Phone

(484) 340-9768

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olamide Abiodun Vincent

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1013474238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1265159073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 FERNHILL RD UNIT 632",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804288",
            "telephone_number": "484-340-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 SILVERSIDE RD STE 6",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103740",
            "telephone_number": "484-340-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "OLAMIDE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "484-340-9768",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Beatriz Vernon, FNP-BC
• Jennie Vershvovsky, MD
• Katelyn Vertucci, PHD
• Courtney Alicia Vicisko, MD
• Victor L. Gregory, Jr.,D.M.D.,P.a.
• Vidells Day Spa
• Rachael Vigil, APRN
• Vanessa A. Vigilante, PHD
• Pablo D Villafuerte, MD
• Vincent Longo DMD

• Psychiatric/Mental Health Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.