Individual provider Active NPI

Victoria Louise Cobb, N.P.

  • Family Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1386652055
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
137172 Issued in MO
Practice address
4800 Mexico Rd
Ste 101
Saint Peters, MO 63376-1666
Phone
(636) 936-0400
Fax
(636) 936-2252
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 137172 MO Primary

Addresses

Primary practice location

4800 Mexico Rd
Ste 101
Saint Peters, MO 63376-1666

Mailing address

32 Shady Meadow CT
Saint Charles, MO 63304-1215
Phone (636) 498-5183

Other identifiers 1

IdentifierTypeStateIssuer
427270301MedicaidMO

Other names 1

  • Miss Victoria Louise Rohlfing Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
137172MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Capitol Dermatology, L.L.C. CurrentSince Apr 1, 2016 Accepting new patients
Ardaman S Nanda Inc Past Accepting new patients

Locations

901 S 5th St
Saint Charles, MO 63301
Phone (636) 916-1300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1386652055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SHADY MEADOW CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633041215",
            "telephone_number": "636-498-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEXICO RD",
            "address_2": "STE 101",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761666",
            "telephone_number": "636-936-0400",
            "fax_number": "636-936-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "VICTORIA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "137172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427270301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "ROHLFING",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.