Genesis Y Velasquez
Individual provider Active NPI Family Nurse Practitioner · Eielson Afb, AK
NPI 1134864929 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1134864929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- XXXXXXX (AZ)
- Practice address
- 2630 Central Ave
Eielson Afb, AK 99702-2301 - Phone
- (907) 377-6980
- NPI assigned
- May 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XXXXXXX | AZ | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner |
363LF0000X | XXXXXXX | AZ | Yes |
Addresses
Primary practice location
2630 Central Ave
Eielson Afb, AK 99702-2301
Mailing address
2630 Central Ave
Eielson Afb, AK 99702-2301
Phone (907) 377-6980
Other providers in Eielson Afb, AK
- Caitlin Renee Treloar
- Drayden Turman
- Thomas Michael Urbany
- Anthony-Edward K Urbi
- Amy Elizabeth Vagedes
- Jeremy Mantle Wells
- Brandy Willett
- Katherine Patterson Willett
- Ulyana Aleksandrovna Zagurskaya
- Mackenzie May Zora
All providers in Eielson Afb, AK · Family Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.