Victoria M Ellestad, OFFICE ASSISTANT

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

121 Townsgate PLZ
Clovis, NM 88101-3714

Phone

(575) 742-2620

NPI assigned

Sep 8, 2009

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Victoria M Schriefer-Reed Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2009.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1992038087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28220",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875928220",
            "telephone_number": "505-471-5006",
            "fax_number": "505-820-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 TOWNSGATE PLZ",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013714",
            "telephone_number": "575-742-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLESTAD",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "credential": "OFFICE ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "SCHRIEFER-REED",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Echosierra LLC
• Educare Dental Services, Inc.
• El Rocky Mountain Management & Services, LLC
• Amanda Renee Elam, FNP-C
• Trapper Eldridge, PHARMD
• Kendra S Elliott, LBSW
• Sumayia Elnur, DDS
• Eldon Embry
• Samuel Justin Emerson, R.PH
• Ashley B Emmons, LMSW

• All providers in Clovis, NM
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.