Individual provider Active NPI

Victoria Lynn Karlovich, BS, LPN, CMC, HCA

  • Case Manager/Care Coordinator
  • Springfield, MO
National Provider Identifier
1861832206
Registry record updated Jun 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
C-0964 Issued in MO
Practice address
1736 E Sunshine St
Suite 713
Springfield, MO 65804-1343
Phone
(417) 889-4357
Fax
(417) 823-0390
NPI assigned
Jun 30, 2013
Last updated
Jun 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X C-0964 MO Primary

Addresses

Primary practice location

1736 E Sunshine St
Suite 713
Springfield, MO 65804-1343

Mailing address

1736 E Sunshine St
Suite 713
Springfield, MO 65804-1343
Phone (417) 889-4357

Other identifiers 1

IdentifierTypeStateIssuer
037995OtherMOLICENSED PRACTICAL NURSE

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
C-0964MOMDCase Manager/Care Coordinator

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372550400000",
    "number": "1861832206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST",
            "address_2": "SUITE 713",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041343",
            "telephone_number": "417-889-4357",
            "fax_number": "417-823-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST",
            "address_2": "SUITE 713",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041343",
            "telephone_number": "417-889-4357",
            "fax_number": "417-823-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLOVICH",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "BS, LPN, CMC, HCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-30",
        "last_updated": "2013-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MO",
            "license": "C-0964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PRACTICAL NURSE",
            "identifier": "037995",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.