Individual provider Active NPI

Victoria W Minter, DNP, CRNP

  • Family Nurse Practitioner
  • Horton, AL
National Provider Identifier
1497878292
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-052450 Issued in AL
Practice address
8225 Al Highway 75
Horton, AL 35980-8473
Phone
(256) 593-3804
Fax
(256) 593-3805
NPI assigned
Apr 8, 2007
Last updated
Dec 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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 1-052450 AL Primary

Addresses

Primary practice location

8225 Al Highway 75
Horton, AL 35980-8473

Mailing address

PO Box 97
Gadsden, AL 35902-0097
Phone (256) 492-0131

Other identifiers 3

IdentifierTypeStateIssuer
107895 (COMPLEX)MedicaidAL
515-95388OtherALBLUE CROSS (DOUGLAS)
107894 (DOUGLAS)MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040501000264 AL Practitioner - Nurse Practitioner 3678561552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4350 Cleveland Ave
Walnut Grove, AL 35990
Phone (256) 492-0131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-052450ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Mar 17, 2020 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Mar 17, 2020 Accepting new patients
Quality of Life Health Services, Inc Past Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Randolph Health Systems, LLC Past Accepting new patients
Paragon Contracting Services LLC Past Accepting new patients
Wedowee Hospital Past Accepting new patients

Locations

1020 Tuscaloosa Ave
Gadsden, AL 35901
Phone (256) 546-4606

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

420 N 6th St
Gadsden, AL 35901
Phone (256) 546-9907

502 N 27th St
Gadsden, AL 35904
Phone (256) 546-0073

8225 AL Highway 75
Horton, AL 35980
Phone (256) 593-3804

Interoperability endpoints

  • Direct secure messaging: vminter333092@direct.ochin.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1497878292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020097",
            "telephone_number": "256-492-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 AL HIGHWAY 75",
            "city": "HORTON",
            "state": "AL",
            "postal_code": "359808473",
            "telephone_number": "256-593-3804",
            "fax_number": "256-593-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTER",
        "first_name": "VICTORIA",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "DNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-08",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-052450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107895 (COMPLEX)",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS (DOUGLAS)",
            "identifier": "515-95388",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107894 (DOUGLAS)",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horton, AL

Sources for this page

Verify at the official NPI Registry.