Active NPI
Elvira Velasquez, R.N.
- Registered Nurse
- Federal Way, WA
National Provider Identifier
1376964049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00163559
- Practice address
- 36312 31St PL S
Federal Way, WA 98003-7250 - Phone
- (253) 320-5583
- Fax
- (253) 838-3597
- NPI assigned
- Dec 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00163559 | WA | Primary |
Addresses
Primary practice location
36312 31St PL S
Federal Way, WA 98003-7250
Mailing address
36312 31St PL S
Federal Way, WA 98003-7250
Phone (253) 320-5583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 982786 | Medicaid | WA |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00163559 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1376964049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36312 31ST PL S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037250",
"telephone_number": "253-320-5583",
"fax_number": "253-838-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36312 31ST PL S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037250",
"telephone_number": "253-320-5583",
"fax_number": "253-838-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "ELVIRA",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00163559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "982786",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.