Active NPI
Victor Teodoro Valenzuela
- Family Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1538716360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP142769
- Practice address
- 9668 Bartlett Cir
Fort Worth, TX 76108-4467 - Phone
- (817) 900-8031
- NPI assigned
- Aug 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP142769 | TX | Primary |
Addresses
Primary practice location
9668 Bartlett Cir
Fort Worth, TX 76108-4467
Mailing address
1157 Browntop St
Crowley, TX 76036-4312
Phone (817) 727-5428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9100 Viscount Blvd
El Paso, TX 79925-6536
Phone (915) 594-4475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP142769 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Offices of Family Medicine PLLC | Current | Accepting new patients | |
| El Paso Carenow Urgent Care, PLLC | Current | Accepting new patients |
Locations
9100 Viscount Blvd
El Paso, TX 79925
Phone (915) 594-4475
9668 Bartlett Cir
Fort Worth, TX 76108
Phone (817) 900-8031
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 and National Provider Directory roles.
-
- Family Medicine Physician
- El Paso, TX
- NPI 1417435827
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1447521380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1538716360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 BROWNTOP ST",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760364312",
"telephone_number": "817-727-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9668 BARTLETT CIR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761084467",
"telephone_number": "817-900-8031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZUELA",
"first_name": "VICTOR",
"middle_name": "TEODORO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.