Active NPI
Victoria Brill, L.M.
- Midwife
- Interlachen, FL
National Provider Identifier
1811148570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW94
- Practice address
- 132 Mackey Ave
Interlachen, FL 32148-7436 - Phone
- (386) 684-3689
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | MW94 | FL | Primary |
Addresses
Primary practice location
132 Mackey Ave
Interlachen, FL 32148-7436
Mailing address
132 Mackey Ave
Interlachen, FL 32148-7436
Phone (386) 684-3689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340035200 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW94 | FL | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1811148570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 MACKEY AVE",
"city": "INTERLACHEN",
"state": "FL",
"postal_code": "321487436",
"telephone_number": "386-684-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 MACKEY AVE",
"city": "INTERLACHEN",
"state": "FL",
"postal_code": "321487436",
"telephone_number": "386-684-3689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILL",
"first_name": "VICTORIA",
"credential": "L.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "MW94",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340035200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Interlachen, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.