Individual provider Active NPI

Victoria Reyes, AUD

  • Audiologist
  • Alamogordo, NM
National Provider Identifier
1093282170
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD6661 Issued in NM
Practice address
1401 10TH St Ste B
Alamogordo, NM 88310-5012
Phone
(575) 437-4327
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD6661 NM Primary

Addresses

Primary practice location

1401 10TH St Ste B
Alamogordo, NM 88310-5012

Mailing address

1401 10TH St Ste B
Alamogordo, NM 88310-5012
Phone (575) 437-4327

Other practice location 1

2825 Sudderth Dr Ste H
Ruidoso, NM 88345-6353
Phone (575) 437-4327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190214003017 NM Practitioner - Qualified Audiologist 9830437912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Amp Audiology LLCGroup PAC ID 7517231855, 7 clinicians

Practice addresses (Care Compare)

1401 10TH St
Suite B
Alamogordo, NM 88310-5012
Phone (575) 437-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD6661NMMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amp Audiology LLC Audiologist CurrentSince Oct 30, 2018 Accepting new patients
Advanced Hearing Care, LLC Audiologist Past Accepting new patients

Locations

1401 10th St
Ste B
Alamogordo, NM 88310
Phone (575) 437-4327

2825 Sudderth Dr
Ste H
Ruidoso, NM 88345
Phone (575) 257-0454

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": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1093282170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 10TH ST STE B",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105012",
            "telephone_number": "575-437-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 10TH ST STE B",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105012",
            "telephone_number": "575-437-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Sudderth Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "Ruidoso",
            "state": "NM",
            "postal_code": "883456353",
            "country_code": "US",
            "telephone_number": "575-437-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "AUD6661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.