Active NPI
Victoria Vigil
- School Social Worker
- Las Vegas, NM
National Provider Identifier
1851879480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 293647
- Practice address
- 901 Douglas Ave
Las Vegas, NM 87701-3928 - Phone
- (505) 429-4399
- Fax
- (505) 454-5716
- NPI assigned
- Aug 6, 2018
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 293647 | NM | Primary |
Addresses
Primary practice location
901 Douglas Ave
Las Vegas, NM 87701-3928
Mailing address
901 Douglas Ave
Las Vegas, NM 87701-3928
Phone (505) 429-4399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639203318 | Medicaid | NM |
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 |
|---|---|---|---|
| 293647 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1851879480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 DOUGLAS AVE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877013928",
"telephone_number": "505-429-4399",
"fax_number": "505-454-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 DOUGLAS AVE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877013928",
"telephone_number": "505-429-4399",
"fax_number": "505-454-5716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGIL",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "293647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639203318",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.