Aiiesa Gabriela Estrada, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

63928 Issued in NM

Practice address

1702 W Gilchrist Ave
Artesia, NM 88210-1100

Phone

(575) 513-7696

NPI assigned

Nov 9, 2017

Reactivated

Jan 31, 2018

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1184137333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 SPRINGFIELD ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882103754",
            "telephone_number": "520-234-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 W GILCHRIST AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101100",
            "telephone_number": "575-513-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "AIIESA",
        "middle_name": "GABRIELA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "deactivation_date": "2018-01-19",
        "reactivation_date": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "63928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Dungan, SPEECH LANGUAGE PATH
• Mary M Dunnahoo, PSR INSTRUCTOR/CSW
• Nancy L Dunnahoo, LMHC, LADAC
• Rufe J Dunnahoo
• Eseosa Egharevba, PHARM D
• Angie Marie Estrada
• Eye Site LLC
• Amadaliza Ruth Falcon, RDH
• Gary Lee Farmer, M.D.
• Melanie Frances Farrar, P.T., D.P.T.

• Family Nurse Practitioner in Artesia, NM
• Providers in Artesia, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.