Individual provider Active NPI

Victoria Annette Tippery

  • Advanced Practice Midwife
  • Port Orchard, WA
National Provider Identifier
1467134080
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11036189 Issued in FL
Practice address
3785 Westminster Dr SE
Port Orchard, WA 98366-5849
Phone
(503) 338-8953
NPI assigned
Aug 3, 2023
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11036189 FL Primary

Addresses

Primary practice location

3785 Westminster Dr SE
Port Orchard, WA 98366-5849

Mailing address

3785 Westminster Dr SE
Port Orchard, WA 98366-5849
Phone (503) 338-8953

Other practice location 1

2770 Capital Medical Blvd Ste 220
Tallahassee, FL 32308-8417
Phone (850) 391-3880

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310004907 FL Practitioner - Certified Nurse Midwife (CNM) 3779066535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diana Health FL, PAGroup PAC ID 5092253245, 33 clinicians

Practice addresses (Care Compare)

2770 Capital Medical Blvd
Suite 220
Tallahassee, FL 32308-8417
Phone (850) 391-3880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN11036189FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Health FL P.a. Advanced Practice Midwife CurrentSince Mar 4, 2026 Accepting new patients
Absolute OBGYN LLC Past Accepting new patients

Locations

2770 Capital Medical Blvd
Ste 220
Tallahassee, FL 32308
Phone (850) 391-3880

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4
  • Direct secure messaging: victoria.tippery.1@23211.direct.athenahealth.com

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1467134080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 WESTMINSTER DR SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665849",
            "telephone_number": "503-338-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 WESTMINSTER DR SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665849",
            "telephone_number": "503-338-8953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 Capital Medical Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323088417",
            "country_code": "US",
            "telephone_number": "850-391-3880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPPERY",
        "first_name": "VICTORIA",
        "middle_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11036189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.