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VICTORIA SOEWARNA
NPI 1104686278
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Active since March 19, 2024PECOS Enrolled
1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-3181(704) 355-7047 Get Directions Write a Review

NPPES record last updated: June 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Victoria Soewarna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA SOEWARNA (NPI 1104686278) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104686278
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVICTORIA SOEWARNA
Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812
Mailing Address7255 Nightingale Dr Apt 8Holland, OH 43528-9351 · (440) 371-8484
Phone(704) 355-3181
Fax(704) 355-7047
Sole ProprietorNo
Enumeration DateMarch 19, 2024
Last NPPES UpdateJune 9, 2024
NPPES CertifiedJune 9, 2024
✔ NPI 1104686278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 BLYTHE BLVD, Charlotte, NC 28203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Soewarna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER EGAN M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 973-5500
CHELSEA KOLSHAK
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
NEHA RAY MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3181
DR. HANNAH ELIZABETH CORRAL MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
PRECIOUS IRIAGHOMO WOODWARD
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
ALEXANDRU DANIEL VLASIN CRNA
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
DR. BERNARD VELARDO MD
Anesthesiology
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
DAVID MATTHEW SULLIVAN MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Soewarna's NPI number?

The NPI number for Victoria Soewarna is 1104686278. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Victoria Soewarna located?

Victoria Soewarna practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-3181.

What is Victoria Soewarna's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Victoria Soewarna enrolled in Medicare?

Yes. Victoria Soewarna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Soewarna was last updated on June 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.