Individual provider Active NPI

Victoria Deanda, NP

  • Adult Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1710482427
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP136196 Issued in TX
Practice address
5425 W Spring Creek Pkwy Ste 210
Plano, TX 75024-4241
Phone
(972) 608-3333
NPI assigned
Mar 26, 2018
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP136196 TX Primary

Addresses

Primary practice location

5425 W Spring Creek Pkwy Ste 210
Plano, TX 75024-4241

Mailing address

1316 Black Hawk LN
Carrollton, TX 75010-3316

Other practice location 1

1110 Cottonwood Ln Ste 105
Irving, TX 75038-6113
Phone (972) 607-2525

Other practice location 2

1901 N MacArthur Blvd
Irving, TX 75061-2220
Phone (972) 579-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vdeanda336471@direct.sw.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180416002140 TX Practitioner - Nurse Practitioner 3577826080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4400 Ih 30 W
100 Pca Greenville Family Practice
Greenville, TX 75402-4620
Phone (469) 800-3500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Dec 26, 2024 Accepting new patients
Lisa Medwedeff M.D. PA CurrentSince Apr 1, 2023 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

1110 Cottonwood Ln
Ste 105
Irving, TX 75038
Phone (972) 607-2525

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

5425 W Spring Creek Pkwy
Ste 210
Plano, TX 75024
Phone (972) 608-3333

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1710482427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 BLACK HAWK LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750103316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244241",
            "telephone_number": "972-608-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Cottonwood Ln Ste 105",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750386113",
            "country_code": "US",
            "telephone_number": "972-607-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750612220",
            "country_code": "US",
            "telephone_number": "972-579-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEANDA",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP136196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vdeanda336471@direct.sw.org",
            "affiliation": "N",
            "address_1": "1110 Cottonwood Ln Ste 105",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750386113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.