Victoria Randall, NP
Victoria Randall, NP is a Gerontology Nurse Practitioner in Monroe, LA, registered under NPI 1396478830. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 2503 BROADMOOR BLVD, Monroe, LA 71201. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 79546 | NM | Gerontology Nurse Practitioner |
| 36424 | TN | Gerontology Nurse Practitioner |
| 316634 | AZ | Gerontology Nurse Practitioner |
| 4021515 | KY | Gerontology Nurse Practitioner |
| 3-001773 | AL | Gerontology Nurse Practitioner |
| 878300 | NV | Gerontology Nurse Practitioner |
| 230019 | AR | Gerontology Nurse Practitioner |
| 1182767 | TX | Gerontology Nurse Practitioner |
| C-APN.0103663-C-NP | CO | Gerontology Nurse Practitioner |
| 226274 | LA | Gerontology Nurse Practitioner primary |
Licences are recorded in 10 states: NM, TN, AZ, KY, AL, NV, AR, TX, CO, LA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 2466834023
Enrolled in Medicare 11 times, across 11 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Louisiana | I20220729001742 | Practitioner - Nurse Practitioner |
| Mississippi | I20240828003723 | Practitioner - Nurse Practitioner |
| Arkansas | I20241002001850 | Practitioner - Nurse Practitioner |
| Nevada | I20241002002045 | Practitioner - Nurse Practitioner |
| New Mexico | I20241007003641 | Practitioner - Nurse Practitioner |
| Kentucky | I20241010002889 | Practitioner - Nurse Practitioner |
| Tennessee | I20241022005223 | Practitioner - Nurse Practitioner |
| Alabama | I20241023003835 | Practitioner - Nurse Practitioner |
| Texas | I20250221000116 | Practitioner - Nurse Practitioner |
| Arizona | I20250221002811 | Practitioner - Nurse Practitioner |
| Colorado | I20250417001303 | Practitioner - Nurse Practitioner |
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 11 separate enrolment records across 11 states (LA, MS, AR, NV, NM, KY, TN, AL, TX, AZ, CO). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 10 states
This provider holds licences in 10 states: Alabama, Arkansas, Arizona, Colorado, Kentucky, Louisiana, New Mexico, Nevada, Tennessee and Texas. The practice address on file is in Monroe, LA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- C-APN.0103663-C-NP
- Specialty
- Gerontology Nurse Practitioner
- Licence
- 226274
- Specialty
- Gerontology Nurse Practitioner
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Gerontology covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LG0600X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | 79546 | NM | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | 36424 | TN | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | 316634 | AZ | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | 4021515 | KY | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | 3-001773 | AL | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | 878300 | NV | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | 230019 | AR | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | 1182767 | TX | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | C-APN.0103663-C-NP | CO | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | 226274 | LA | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1396478830 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 1, 2022 |
| Last updated | Apr 1, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Credential | NP |
| Practice address |
2503 BROADMOOR BLVD Monroe, LA 71201 (318) 388-6050 Fax (318) 998-3017 |
| Mailing address |
PO BOX 4766 Monroe, LA 71211 |
| Other names |
Victoria Orr Former Legal Business Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 9 | 6 | 4 | 7 | 8 | 8 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 9 | 6 | 8 | 7 | 7 | 8 | 6 |
Sum = 80 · next multiple of 10 = 80 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.