Active NPI
Victoria Marie Poillucci, NP
- Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1659576106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Practice address
- 1540 Sunday Dr
Raleigh, NC 27607-6000 - Phone
- (919) 782-3456
- Fax
- (919) 788-8519
- NPI assigned
- Jun 15, 2007
- Last updated
- Dec 10, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NC | Primary |
Addresses
Primary practice location
1540 Sunday Dr
Raleigh, NC 27607-6000
Mailing address
1540 Sunday Dr
Raleigh, NC 27607-6000
Phone (919) 782-3456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050-02720 | NC | MD | Nurse Practitioner |
Interoperability endpoints
- vpoillucci48539@direct.medicine.duke.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1659576106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 SUNDAY DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076000",
"telephone_number": "919-782-3456",
"fax_number": "919-788-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 SUNDAY DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076000",
"telephone_number": "919-782-3456",
"fax_number": "919-788-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POILLUCCI",
"first_name": "VICTORIA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Hannah Elizabeth Podgorny, MS, OTR/L
- Callie Martell Podraza, LCMHCA
- Alison Melissa Poe, AGNP-C
- William Poe
- Rachel Pohlman, MPH, RD, LDN
- Ivy Peed Pointer, M.D.
- Lakin N Poje, BSN, RN
- Georgina Polanco Castillo, MD
- Polaris Psychological Health Counseling and Consulting Services PLLC
- Vijaya N Polavaram, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.