Victoria Maderazo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

93295 Issued in OK

Practice address

201 S Garnett Rd
Tulsa, OK 74128-1805

Phone

(918) 438-4257

NPI assigned

Oct 29, 2018

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 OK

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

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brookhaven Hospital, LLC

  • Psychiatric Hospital
  • Tulsa, OK
  • NPI 1023064300
  Medicare reassignment NPD
• Midwest Hospitalist Group PLLC

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1376011478
  Medicare reassignment NPD
• Senior Psychcare of Oklahoma, LLC

  • Psychiatry Physician
  • Tulsa, OK
  • NPI 1013668961

  Family

  Medicare reassignment NPD
• Williams Medical Group Practice, LLC

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809
  Medicare reassignment NPD
• Williams Medical Group Practice, LLC

  • Rural Health Clinic/Center
  • Collinsville, OK
  • NPI 1215751508
  NPD
• Pawnee Nation Mental Health, LLC

  • Adult Mental Health Clinic/Center
  • Pawnee, OK
  • NPI 1881488229
  NPD (past)
• Williams Medical Group Practice, LLC

  • Rural Health Clinic/Center
  • Tulsa, OK
  • NPI 1750950580
  NPD (past)

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1851868798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 S OSWEGO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352214",
            "telephone_number": "918-290-8069",
            "fax_number": "918-212-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741281805",
            "telephone_number": "918-438-4257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 Heritage Cir",
            "address_purpose": "LOCATION",
            "city": "Pawnee",
            "state": "OK",
            "postal_code": "740583745",
            "country_code": "US",
            "telephone_number": "918-212-0344",
            "fax_number": "918-212-4351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADERAZO",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "93295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Maddock
• Anthony Kyle Maddox, PA
• David Leon Maddox, DDS
• Michael E Maddox, D.O.
• David Gary Maddux, PA-C
• Emily Dawn Madewell, OPTIMAL
• Madison Medical LLC
• James Franklin Madison, PA-C
• Tamara L Madjid, APRN
• Emily Madrak, LAT, ATC

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.