Individual provider Active NPI

Victoria Hollingsworth, RCIS

  • Cardiovascular Invasive Specialist/Technologist
  • Dallas, TX
National Provider Identifier
1306235353
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Invasive Specialist/TechnologistTaxonomy code 246XC2901X
License
00011057 Issued in NC
Practice address
9441 LBJ Fwy
602
Dallas, TX 75243-4545
Phone
(469) 249-1883
NPI assigned
Jan 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Invasive Specialist/Technologist 246XC2901X 00011057 NC Primary

Addresses

Primary practice location

9441 LBJ Fwy
602
Dallas, TX 75243-4545

Mailing address

9441 LBJ Fwy
602
Dallas, TX 75243-4545
Phone (469) 249-1883

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

State licenses

LicenseStateTypeSpecialty
00011057NCMDCardiovascular Invasive Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1306235353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 LBJ FWY",
            "address_2": "602",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434545",
            "telephone_number": "469-249-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 LBJ FWY",
            "address_2": "602",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434545",
            "telephone_number": "469-249-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "VICTORIA",
        "credential": "RCIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XC2901X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Cardiovascular Invasive Specialist",
            "state": "NC",
            "license": "00011057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.