Individual provider Active NPI

Victoria Record, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Canandaigua, NY
National Provider Identifier
1699260612
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308423 Issued in NY
Practice address
3325 Marvin Sands Dr
Canandaigua, NY 14424
Phone
(585) 785-1465
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 308423 NY
Adult Health Nurse Practitioner 363LA2200X 308423 NY Primary

Addresses

Primary practice location

3325 Marvin Sands Dr
Canandaigua, NY 14424

Mailing address

415 Howell St
Palmyra, NY 14522-1507
Phone (585) 734-3185

Other practice location 1

196 North St
Geneva, NY 14456-1694
Phone (315) 787-4003

Other practice location 2

196 North St
Geneva, NY 14456-1694
Phone (315) 787-4003

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Victoria.record@rochesterregional.org

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

LicenseStateTypeSpecialty
308423NYMDOrthopaedic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: victoria.record@rochesterregional.org

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1699260612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HOWELL ST",
            "city": "PALMYRA",
            "state": "NY",
            "postal_code": "145221507",
            "telephone_number": "585-734-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 MARVIN SANDS DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424",
            "telephone_number": "585-785-1465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 North St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144561694",
            "country_code": "US",
            "telephone_number": "315-787-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "196 North St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144561694",
            "country_code": "US",
            "telephone_number": "315-787-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECORD",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "308423",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Victoria.record@rochesterregional.org",
            "affiliation": "N",
            "address_1": "100 Sunset Dr",
            "city": "Newark",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145131068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.