Victoria Ochuwa Walter-Etoh, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1015294 Issued in TX

Practice address

10807 Perrin Beitel Rd Ste 300
San Antonio, TX 78217-3144

Phone

(248) 224-6411

NPI assigned

Jul 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.victoriawalteretoh@136732.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progressive Behavioral Health, PLLC

  dba LifeStance Health

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1659567238

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Insight Mental Wellness PA

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1598243479

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Medvon Medical Clinic Professional Corporation

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1407513443
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1376278762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 PERRIN BEITEL RD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173144",
            "telephone_number": "248-224-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 PERRIN BEITEL RD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173144",
            "telephone_number": "248-224-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER-ETOH",
        "first_name": "VICTORIA",
        "middle_name": "OCHUWA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1015294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter D. Thames, PLLC (Urgent Dental Clinics)
• Walter M. Bain MD PA (Otolaryngology Associates of South Texas)
• Kayla Rose Walter Rodriguez, MD
• Walter W. Root, M.D.P.a
• Walter Walthall IV MD PLLC
• Carol J Walter, LPC
• Colleen A Walter, PHD
• Elizabeth A Walter, M.D.
• Elizabeth S Walter, LCSW
• James Henry Walter, MD

• Psychiatric/Mental Health Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.

Verify at the official NPI Registry.