Victoria Hollis, DNP FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

212862 Issued in AR

Practice address

2201 Horizan Rd Ste 4
West Memphis, AR 72301-2926

Phone

(870) 732-0332

NPI assigned

Aug 23, 2020

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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Coast to Coast Medical LLCGroup PAC ID 3274606314, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Marion, AR, CCN 047122
• Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Coast to Coast Medical, LLC

  • Family Medicine Physician
  • West Memphis, AR
  • NPI 1740214402
  Medicare reassignment Care Compare group NPD

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

• Arkansas Home Health Providers-III, LLC

  • Home Health Agency
  • Marion, AR
  • NPI 1306247770
  Care Compare affiliation
• Baptist Memorial Hospital - Crittenden Inc

  • General Acute Care Hospital
  • West Memphis, AR
  • NPI 1437634524
  Care Compare affiliation

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1639781396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 N DELTA DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642686",
            "telephone_number": "901-552-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HORIZAN RD STE 4",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012926",
            "telephone_number": "870-732-0332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Block St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "AR",
            "postal_code": "723641956",
            "country_code": "US",
            "telephone_number": "870-559-2314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "VICTORIA",
        "credential": "DNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "212862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Hill, RN
• Andre Carlos Hitchcock
• Andrea Lavell Hodges
• Kirsten Holiman
• Volencia Marsheka Hollins
• Christopher Josh Holloman, M.A. C.C.C. SLP
• Holly Springs Eyecare PLLC
• Holt Therapy and Wellness, PLLC
• Kevin Dean Holt, M.S. P.T.
• Michael Allen Hood, MD

• Family Nurse Practitioner in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.

Verify at the official NPI Registry.