Active NPI
Eileen Velez, MD
- Cytopathology Physician
- Shreveport, LA
National Provider Identifier
1174728190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- 14037R
- Practice address
- 255 Bert Kouns Industrial Loop
Shreveport, LA 71106-8150 - Phone
- (318) 683-0411
- Fax
- (318) 603-5461
- NPI assigned
- Jun 19, 2007
- 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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 14037R | LA | Primary |
Addresses
Primary practice location
255 Bert Kouns Industrial Loop
Shreveport, LA 71106-8150
Mailing address
255 Bert Kouns Industrial Loop
Shreveport, LA 71106-8150
Phone (318) 683-0411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00422288 | Other | LA | RAILROAD MEDICARE |
| 1041921 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14037R | LA | MD | Cytopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1174728190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 BERT KOUNS INDUSTRIAL LOOP",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711068150",
"telephone_number": "318-683-0411",
"fax_number": "318-603-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 BERT KOUNS INDUSTRIAL LOOP",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711068150",
"telephone_number": "318-683-0411",
"fax_number": "318-603-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ",
"first_name": "EILEEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "LA",
"license": "14037R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00422288",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1041921",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.