Individual provider Active NPI

Victoria Sollestre, PA-C

  • Medical Physician Assistant
  • Southfield, MI
National Provider Identifier
1356957799
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601010706 Issued in MI
Practice address
22200 W 9 Mile Rd
Southfield, MI 48033-6008
Phone
(248) 724-7600
Fax
(248) 724-6800
NPI assigned
Sep 21, 2020
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601010706 MI Primary

Addresses

Primary practice location

22200 W 9 Mile Rd
Southfield, MI 48033-6008

Mailing address

PO Box 430150
Pontiac, MI 48343-0150
Phone (248) 724-7600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victoria.sollestre.p1@direct.oihn.nextgenshare.com

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230925002970 MI Practitioner - Physician Assistant 4880007145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Integrated Healthcare Network CurrentSince Aug 9, 2023 Accepting new patients
Oakland Integrated Healthcare Network CurrentSince Aug 9, 2023 Accepting new patients
Oakland Integrated Healthcare Network Past Accepting new patients
Oakland Integrated Healthcare Network Past Accepting new patients
Shawnte Farmer Psychiatric Services PLLC PastSince Sep 1, 2020 Accepting new patients

Locations

461 W Huron St
Ste 107
Pontiac, MI 48341
Phone (248) 857-7432

22200 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 359-8778

27725 Greenfield Rd
Southfield, MI 48076
Phone (248) 424-7000

279 Summit Dr
Waterford, MI 48328
Phone (800) 615-0411

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1356957799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430150",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483430150",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22200 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480336008",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLESTRE",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601010706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.sollestre.p1@direct.oihn.nextgenshare.com",
            "affiliation": "N",
            "address_1": "22200 W 9 Mile Rd",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480336008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.