Valerie Katiana Vazquez, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

162902 Issued in FL

Practice address

2970 W US Highway 90 Ste 110
Lake City, FL 32055-4703

Phone

(386) 247-6910

Fax

(386) 247-6915

NPI assigned

Dec 2, 2016

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake City Regional Medical Group LLCGroup PAC ID 5294908901, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
• HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: valerie.vazquez@hca5.eclinicaldirectplus.com

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.

• Lake City Regional Medical Group LLC

  • Family Medicine Physician
  • Lake City, FL
  • NPI 1184910036
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Florida Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1174579155
  Care Compare affiliation
• Notami Hospitals of Florida Inc

  • General Acute Care Hospital
  • Lake City, FL
  • NPI 1992751879
  Care Compare affiliation

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1013450477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13164 SW 8TH LN",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326690108",
            "telephone_number": "787-405-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 W US HIGHWAY 90 STE 110",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554703",
            "telephone_number": "386-247-6910",
            "fax_number": "386-247-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "VALERIE",
        "middle_name": "KATIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2023-08-09",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "162902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Vance
• Heather Ann Thornton Vann, M.ED./ED.S.
• Jarinel Vargas
• Charles Varghese, M.D
• Kendall P Varney, AUDIOLOGIST
• Laura V Vazquez11
• Veedhata Om LLC
• Abimael Velez
• Jessica Velez, LMHC
• Vernon Montoya MD PA

• Surgery Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.
• 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.