DR. JUAN DIEGO VICTORIA (NPI# 1467847020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467847020 |
| Entity Type | Individual |
| Full Name | DR. JUAN DIEGO VICTORIA |
| Credential | DNP |
| Practice Address |
1100 N College Ave Fayetteville AR 72703-1944 |
| Practice Telephone | 4794434301 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A005197 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018960 | Juan Sebastian Victoria | Physical Therapist | 26 Computer Dr E, Albany, NY 12205-1112 | 2020-09-16 |
| Street Address |
1100 N COLLEGE AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435697 | Randall B Davis | Specialist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2005-05-31 |
| 1548870462 | Anna Parker | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-08-05 |
| 1912522095 | Shan M Khan | Dentist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-06-14 |
| 1760003495 | Andrea G. Burnett | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-05 |
| 1396366092 | Robin Elizabeth Bush | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-04 |
| 1295356186 | Brock Helfrich | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1999 | 2020-05-01 |
| 1285255661 | Curtis Deon Burnley Jr. | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-27 |
| 1871113878 | Katherine Lynn Horn | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-20 |
| 1649890930 | William Colton Cheek | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-16 |
| 1487285995 | Kristen Schatzman | Social Worker | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| 1720690167 | Stephen Arthur Lepak | Nurse Practitioner | 6871 Appleton Dr, Fayetteville, PA 17222-9383 | 2020-08-18 |
| 1750990255 | Towauna Daya | Nurse Practitioner | 1338 Redwine Rd, Fayetteville, GA 30215-2509 | 2020-07-30 |
| 1316555642 | Constance Ofundem Takang | Nurse Practitioner | 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 | 2020-07-22 |
| 1851916472 | Breanna Mills | Nurse Practitioner | 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 | 2020-06-09 |
| 1922621069 | Laura Sarai Perez | Nurse Practitioner | 480 Lees Lake Rd, Fayetteville, GA 30214-3106 | 2020-05-23 |
| 1902431125 | Crystal Baker English | Nurse Practitioner | 113 Old Bethel Rd, Fayetteville, TN 37334-6186 | 2020-03-09 |
| 1568092708 | Stephanie Elizabeth Fields | Nurse Practitioner | 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 | 2020-01-15 |
| 1437616364 | Andrea Teal Bergman | Nurse Practitioner | Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 | 2019-02-27 |
| 1639634447 | Arica Adams-gro'ce | Nurse Practitioner | 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 | 2019-02-06 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on DR. JUAN DIEGO VICTORIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.