Individual provider Active NPI

Victoria Kimberly Kuntz, AGAC-NP

  • Acute Care Nurse Practitioner
  • Easton, MD
National Provider Identifier
1861961260
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R201609 Issued in MD
Practice address
219 S Washington St
Easton, MD 21601-2913
Phone
(410) 822-1000
NPI assigned
Nov 15, 2018
Last updated
Nov 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R201609 MD Primary

Addresses

Primary practice location

219 S Washington St
Easton, MD 21601-2913

Mailing address

1309 Seabright CT
Annapolis, MD 21409-4669
Phone (410) 858-7785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190219000972 MD Practitioner - Nurse Practitioner 3779821616 Reassigns benefits to 2 organizations
I20240315002396 DC Practitioner - Nurse Practitioner 3779821616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Health Weight Management, LLCGroup PAC ID 0840634267, 103 clinicians

Practice addresses (Care Compare)

10153 York Rd
Suite 106 108
Cockeysville, MD 21030-3398
Phone (667) 206-4368

1099 Winterson Rd
Suite 300
Linthicum, MD 21090-2279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Weight Management, LLC CurrentSince Feb 1, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 14, 2019 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 14, 2019 Accepting new patients

Locations

620 W Macphail Rd
Ste 102
Bel Air, MD 21014
Phone (443) 819-3648

6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

10153 York Rd
Ste 106108
Hunt Valley, MD 21030
Phone (667) 206-4368

22326 Exploration Dr
Lexington Park, MD 20653
Phone (301) 904-9422

1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785

354 Mountain Rd
Ste G
Pasadena, MD 21122
Phone (410) 255-2879

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kuntz.victoria@ca-md.direct.office.nextgen.com

Organizations & group practices 3

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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1861961260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 SEABRIGHT CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214094669",
            "telephone_number": "410-858-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S WASHINGTON ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012913",
            "telephone_number": "410-822-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTZ",
        "first_name": "VICTORIA",
        "middle_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "AGAC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R201609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.