Individual provider Active NPI

Victoria Marie Deal, APRN, FNP-BC

  • Family Nurse Practitioner
  • Huntsville, AR
National Provider Identifier
1609504430
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22380 Issued in AR
Practice address
934 N Gaskill St
Huntsville, AR 72740-8903
Phone
(479) 738-5500
NPI assigned
Aug 10, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 22380 AR Primary

Addresses

Primary practice location

934 N Gaskill St
Huntsville, AR 72740-8903

Mailing address

1291 Madison 8590
Huntsville, AR 72740-7178
Phone (870) 807-0851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220908000507 AR Practitioner - Nurse Practitioner 6204210305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

934 N Gaskill St
Huntsville, AR 72740-8903
Phone (479) 738-5500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22380ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Mountain Rural Health Center Inc CurrentSince Aug 29, 2022 Accepting new patients
Boston Mountain Rural Health Center, Inc CurrentSince Aug 29, 2022 Accepting new patients

Locations

1002 N Spring St
Harrison, AR 72601
Phone (870) 741-6373

934 N Gaskill St
Huntsville, AR 72740
Phone (479) 738-5500

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1609504430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 MADISON 8590",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727407178",
            "telephone_number": "870-807-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 N GASKILL ST",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727408903",
            "telephone_number": "479-738-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "22380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AR

Sources for this page

Verify at the official NPI Registry.