Mireille Victor, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN11006338 Issued in FL

Practice address

366 S Main St
Belle Glade, FL 33430-3428

Phone

(561) 847-4794

Fax

(561) 847-4574

NPI assigned

Feb 20, 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 FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25349/brand/1/csg/1/fhir/r4

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.

• First Community Health Medical Center, Inc

  • Primary Care Clinic/Center
  • Belle Glade, FL
  • NPI 1700497393
  Medicare reassignment NPD Authorized official
• Amazing Health Care and Services, Inc

  • Internal Medicine Physician
  • Lake Park, FL
  • NPI 1679172068
  NPD
• Trinity Point Medical Center

  • Specialist
  • Fort Lauderdale, FL
  • NPI 1164723961
  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1740813591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 PROSPERITY FARMS RD STE 100",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032046",
            "telephone_number": "561-847-4794",
            "fax_number": "561-847-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 S MAIN ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303428",
            "telephone_number": "561-847-4794",
            "fax_number": "561-847-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "MIREILLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11006338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arley A Tucker
• Fnu Varnika
• Nisha Aaron Varughese
• Yamilet Viamonte Rodriguez
• Pateshia Vickers, APRN
• Victory Nursing of South Florida
• Walgreen Co
• Donna Rogers Ward, R.D.,L.D.N.
• Washington Home Care LLC.
• Jerome West, BS

• Primary Care Nurse Practitioner in Belle Glade, FL
• Providers in Belle Glade, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.