1265143739 NPI number — VIRGINIA CLAIRE SOOTER APRN-CNP

Table of content: VIRGINIA CLAIRE SOOTER APRN-CNP (NPI 1265143739)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265143739 NPI number — VIRGINIA CLAIRE SOOTER APRN-CNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SOOTER
Provider First Name:
VIRGINIA
Provider Middle Name:
CLAIRE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN-CNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265143739
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11736 DIXFIELD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75218-1843
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-908-4680
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4835 LBJ FWY STE 900
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75244-6001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
844-539-6332
Provider Business Practice Location Address Fax Number:
972-600-1101
Provider Enumeration Date:
12/06/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  1056535 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com