Victoria Grace Wilkinson, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA05031 Issued in TX

Practice address

1301 S Coulter St Ste 201
Amarillo, TX 79106-1765

Phone

(806) 367-9855

Fax

(806) 367-9865

NPI assigned

Nov 14, 2006

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

Other identifiers 1

Other names 1

• Victoria Grace Cavendish Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: victoria.wilkinson@292210469699588.direct.elationemr.com
• Direct secure messaging: victoria.wilkinson@55768849711108.direct.elationemr.com

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.

• Well Life Family Medicine, P.a.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1245675081
  Medicare reassignment
• Ellis Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Waxahachie, TX
  • NPI 1902856107
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1881766970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST STE 201",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061765",
            "telephone_number": "806-367-9855",
            "fax_number": "806-367-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST STE 201",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061765",
            "telephone_number": "806-367-9855",
            "fax_number": "806-367-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "VICTORIA",
        "middle_name": "GRACE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.A.-C CERTIFICATE NUMBER",
            "identifier": "1075350",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "CAVENDISH",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie Wilkerson, MD
• Michael Dee Wilkerson, MD
• Eric Wilkie, D.D.S.
• Kent Douglas Wilkins, PA-C
• Paul Samuel Wilkinson, DM.D., M.D.
• Cheyayne Willcox
• William H Bordelon, MD, PA
• William I Kracke MD PA
• William James Kemp, Jr. DDS, Inc
• William M Bannister, MD, PA

• Medical Physician Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.