Individual provider Active NPI

Victoria Fabian, FNP

  • Family Nurse Practitioner
  • Estero, FL
National Provider Identifier
1891476982
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024542 Issued in FL
Practice address
21740 S Tamiami TRL Ste 106
Estero, FL 33928-2819
Phone
(239) 213-3610
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11024542 FL Primary

Addresses

Primary practice location

21740 S Tamiami TRL Ste 106
Estero, FL 33928-2819

Mailing address

1416 SE 29TH St
Cape Coral, FL 33904-3960
Phone (352) 242-7965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20230817000287 FL Practitioner - Nurse Practitioner 4587026984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of Florida PAGroup PAC ID 8426470626, 47 clinicians

Practice addresses (Care Compare)

21740 S Tamiami TRL
Suite 106
Estero, FL 33928-2819
Phone (239) 213-3610

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11024542FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Florida, P.a. CurrentSince Jul 31, 2023 Accepting new patients
Infusion Express of Kansas LLC Past Accepting new patients

Locations

293 E Altamonte Dr
Ste 1201
Altamonte Springs, FL 32701
Phone (407) 392-3171

21740 S Tamiami Trl
Ste 106
Estero, FL 33928
Phone (239) 213-3610

8291 Dani Dr
Ste 130
Fort Myers, FL 33966
Phone (239) 256-3266

2308 Pine Ridge Rd
Naples, FL 34109
Phone (239) 213-3601

2306 Pine Ridge Rd
Naples, FL 34109
Phone (239) 213-3601

214 Centerview Dr
Ste 250
Brentwood, TN 37027
Phone (847) 420-0686

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1891476982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 SE 29TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043960",
            "telephone_number": "352-242-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21740 S TAMIAMI TRL STE 106",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339282819",
            "telephone_number": "239-213-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "VICTORIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.