Active NPI
Velveth Irene Sevilla, FNP-C
- Family Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1033797618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN200390
- Practice address
- 5670 Peachtree Dunwoody Rd
Atlanta, GA 30342-1699 - Phone
- (404) 255-1930
- NPI assigned
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN200390 | GA | Primary |
Addresses
Primary practice location
5670 Peachtree Dunwoody Rd
Atlanta, GA 30342-1699
Mailing address
106 Treadstone LN
Dallas, GA 30132-0802
Phone (770) 778-1326
Other practice location 1
106 Treadstone Ln
Dallas, GA 30132-0802
Phone (770) 778-1326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210901001339 | GA | Practitioner - Nurse Practitioner | 8729484654 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN200390 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1033797618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 TREADSTONE LN",
"city": "DALLAS",
"state": "GA",
"postal_code": "301320802",
"telephone_number": "770-778-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5670 PEACHTREE DUNWOODY RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421699",
"telephone_number": "404-255-1930"
}
],
"practiceLocations": [
{
"address_1": "106 Treadstone Ln",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "GA",
"postal_code": "301320802",
"country_code": "US",
"telephone_number": "770-778-1326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEVILLA",
"first_name": "VELVETH",
"middle_name": "IRENE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN200390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.