Active NPI
Victoria B. Quintana, ARNP
- Adult Health Nurse Practitioner
- Pinellas Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1789052
- Practice address
- 9165 US Highway 19 N
Pinellas Park, FL 33782-5406 - Phone
- (727) 578-7618
- Fax
- (727) 578-7619
- NPI assigned
- Dec 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1789052 | FL | Primary |
Addresses
Primary practice location
9165 US Highway 19 N
Pinellas Park, FL 33782-5406
Mailing address
10051 5TH St N Ste 200
St Petersburg, FL 33702-2211
Phone (727) 824-0780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9165 US Hwy 19 N
Optum Mainlands
Pinellas Park, FL 33782-5406
Phone (727) 578-7618
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1789052 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Optumcare Florida LLC | Current | Accepting new patients | |
| Optumcare Florida Ci, LLC | Past | Accepting new patients |
Locations
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
9165 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 578-7618
5101 Brittany Dr S
St Petersburg, FL 33715
Phone (727) 867-2151
10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093
8950 Martin Luther King St N
Ste 180
St Petersburg, FL 33702
Phone (727) 576-8900
1100 62nd Ave S
St Petersburg, FL 33705
Phone (727) 866-3166
Organizations & group practices 3
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.
-
- General Practice Physician
- Tampa, FL
- NPI 1053384214
-
- Hospitalist Physician
- Tampa, FL
- NPI 1659884294
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1316924970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10051 5TH ST N STE 200",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337022211",
"telephone_number": "727-824-0780",
"fax_number": "813-514-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9165 US HIGHWAY 19 N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337825406",
"telephone_number": "727-578-7618",
"fax_number": "727-578-7619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "VICTORIA",
"middle_name": "B.",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-26",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "1789052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.