Individual provider Active NPI

Quetheline M Helvetius-Lanza, MD

  • Pediatrics Physician
  • Pensacola, FL
National Provider Identifier
1447234398
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME73389 Issued in FL
Practice address
2510 N 12TH Ave
Pensacola, FL 32503-4604
Phone
(850) 471-0508
Fax
(850) 471-0510
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME73389 FL Primary

Addresses

Primary practice location

2510 N 12TH Ave
Pensacola, FL 32503-4604

Mailing address

2510 N 12TH Ave
Pensacola, FL 32503-4604
Phone (850) 471-0508

Other identifiers 1

IdentifierTypeStateIssuer
252654900MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150521002528 FL Practitioner - Pediatric Medicine 6608096300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME73389FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Escambia Community Clinics, Inc CurrentSince Mar 23, 2015 Accepting new patients
Escambia Community Clinics Inc CurrentSince Mar 23, 2015 Accepting new patients
Escambia Community Clinics Inc Current Accepting new patients
Escambia Community Clinics, Inc Past Accepting new patients

Locations

470 S Highway 29
Cantonment, FL 32533
Phone (850) 780-0111

5520 Stewart St
Milton, FL 32570
Phone (850) 891-9433

6671 Caroline St
Milton, FL 32570
Phone (850) 564-7722

4435 Highway 90
Pace, FL 32571
Phone (850) 304-0390

2701 N Q St
Pensacola, FL 32505
Phone (270) 791-6618

2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955

14 W Jordan St
Pensacola, FL 32501
Phone (800) 436-4630

2510 N 12th Ave
Pensacola, FL 32503
Phone (850) 432-7310

2500 Longleaf Dr
Bldg A
Pensacola, FL 32526
Phone (850) 665-3252

Interoperability endpoints

  • Direct secure messaging: quethelinelanza@ecc.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1447234398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034604",
            "telephone_number": "850-471-0508",
            "fax_number": "850-471-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034604",
            "telephone_number": "850-471-0508",
            "fax_number": "850-471-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELVETIUS-LANZA",
        "first_name": "QUETHELINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME73389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252654900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.