Individual provider Active NPI

Victoria Claybrook, BSN, RN

  • School Registered Nurse
  • Valders, WI
National Provider Identifier
1104758804
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
120458-30 Issued in WI
Practice address
138 E Wilson St
Valders, WI 54245-9645
Phone
(920) 775-9500
Fax
(920) 775-9509
NPI assigned
May 29, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WS0200X 120458-30 WI Primary

Addresses

Primary practice location

138 E Wilson St
Valders, WI 54245-9645

Mailing address

138 E Wilson St
Valders, WI 54245-9645
Phone (920) 775-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
120458-30WIMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valders Area School District Past Accepting new patients

Organizations & group practices 1

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": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1104758804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E WILSON ST",
            "city": "VALDERS",
            "state": "WI",
            "postal_code": "542459645",
            "telephone_number": "920-775-9500",
            "fax_number": "920-775-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E WILSON ST",
            "city": "VALDERS",
            "state": "WI",
            "postal_code": "542459645",
            "telephone_number": "920-775-9500",
            "fax_number": "920-775-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBROOK",
        "first_name": "VICTORIA",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "WI",
            "license": "120458-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valders, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.