Individual provider Active NPI

Victoria Bain, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1407682602
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
312832 Issued in AZ
Practice address
7200 W Bell Rd Ste F101
Glendale, AZ 85308-8535
Phone
(602) 795-8700
Fax
(602) 795-8701
NPI assigned
Sep 12, 2024
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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 312832 AZ Primary

Addresses

Primary practice location

7200 W Bell Rd Ste F101
Glendale, AZ 85308-8535

Mailing address

20280 N 59TH Ave Ste 115-617
Glendale, AZ 85308-6850
Phone (602) 795-8710

Other practice location 1

14420 W Meeker Blvd Ste 211
Sun City West, AZ 85375-5288
Phone (602) 795-8700

Other practice location 2

1325 N Litchfield Rd Ste 120
Goodyear, AZ 85395-1214
Phone (602) 795-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20250103002515 AZ Practitioner - Nurse Practitioner 1254869282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7200 W Bell Rd
Suite F101
Glendale, AZ 85308-8535
Phone (602) 795-8700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Spine and Pain Specialists LLC CurrentSince Jan 1, 2025 Accepting new patients
Arizona Spine and Pain Specialists LLC CurrentSince Jan 1, 2025 Accepting new patients
Elite Anesthesia LLC Past Accepting new patients

Locations

20280 N 59th Ave
Ste 115610
Glendale, AZ 85308

20280 N 59th Ave
Ste 115617
Glendale, AZ 85308

7200 W Bell Rd
Ste F101
Glendale, AZ 85308
Phone (623) 776-9111

1325 N Litchfield Rd
Ste 120
Goodyear, AZ 85395

14420 W Meeker Blvd
Ste 211
Sun City West, AZ 85375

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1407682602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 115-617",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "602-795-8710",
            "fax_number": "602-795-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W BELL RD STE F101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088535",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14420 W Meeker Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755288",
            "country_code": "US",
            "telephone_number": "602-795-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 N Litchfield Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853951214",
            "country_code": "US",
            "telephone_number": "602-795-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIN",
        "first_name": "VICTORIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "312832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.