Individual provider Active NPI

Victoria Ann Cahill, N.P.

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1427108364
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN050725 Issued in AZ
Practice address
4545 E Chandler Blvd Ste 208
Phoenix, AZ 85048-7645
Phone
(480) 961-2330
Fax
(480) 961-2332
NPI assigned
Jan 11, 2007
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN1148 AZ
Women's Health Nurse Practitioner 363LW0102X RN050725 AZ Primary

Addresses

Primary practice location

4545 E Chandler Blvd Ste 208
Phoenix, AZ 85048-7645

Mailing address

919 12TH PL
Suite #1
Prescott, AZ 86305-1433
Phone (928) 778-4300

Other practice location 1

919 12th Pl
Suite #1
Prescott, AZ 86305-1433
Phone (928) 778-4300

Other identifiers 1

IdentifierTypeStateIssuer
648917MedicaidAZ

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
I20230531003274 AZ Practitioner - Nurse Practitioner 6800291667

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN1148AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thunderbird Obstetrics & Gynecology, LTD. Past Accepting new patients
Robert S. Gerson MD PC PastSince Nov 5, 2023 Accepting new patients

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, 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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1427108364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 12TH PL",
            "address_2": "SUITE #1",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051433",
            "telephone_number": "928-778-4300",
            "fax_number": "928-771-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD STE 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487645",
            "telephone_number": "480-961-2330",
            "fax_number": "480-961-2332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 12th Pl",
            "address_2": "Suite #1",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863051433",
            "country_code": "US",
            "telephone_number": "928-778-4300",
            "fax_number": "928-771-0920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "APN1148",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN050725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648917",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.