Ange Nilsa Fontaine Victor, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN262617 Issued in GA

Practice address

323 Bollen LN
Hiram, GA 30141-4185

Phone

(404) 632-7000

NPI assigned

Aug 11, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Total Quality Homecare

  • Home Health Agency
  • Hiram, GA
  • NPI 1902579444
  NPD

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1477228401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BOLLEN LN",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301414185",
            "telephone_number": "404-632-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BOLLEN LN",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301414185",
            "telephone_number": "404-632-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "ANGE",
        "middle_name": "NILSA FONTAINE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN262617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Youngblood Vaughn, M.D.
• Vickie Vaughn
• Sherene Theresa Vazhappilly
• Laura Verigan, MD
• Alethea Vessel-McGee, M.ED,CCC-SLP
• Marie Guilda Vilmont-Rhea, APRN
• Vitality Health and Glow Clinic
• Vodas Chiropractic CL PC
• Phillip G Vodas, D.C.
• Therese Quynh Vu, DMD

• Registered Nurse in Hiram, GA
• Providers in Hiram, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.