Active NPI
Jeanette Vasquez Velasquez, LPN
- Licensed Practical Nurse
- Selden, NY
National Provider Identifier
1447459961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 213407-1
- Practice address
- 6 Bellaire Ave
Selden, NY 11784-3217 - Phone
- (516) 946-1527
- NPI assigned
- Jul 14, 2007
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 213407-1 | NY | Primary |
Addresses
Primary practice location
6 Bellaire Ave
Selden, NY 11784-3217
Mailing address
6 Bellaire Ave
Selden, NY 11784-3217
Phone (516) 946-1527
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02197900 | Medicaid | NY | |
| 213407-1 | Other | NY | NYS LICENSE |
Other names 1
- Ms. Jeanette Kirch
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213407-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1447459961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BELLAIRE AVE",
"city": "SELDEN",
"state": "NY",
"postal_code": "117843217",
"telephone_number": "516-946-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BELLAIRE AVE",
"city": "SELDEN",
"state": "NY",
"postal_code": "117843217",
"telephone_number": "516-946-1527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ VELASQUEZ",
"first_name": "JEANETTE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-14",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "213407-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02197900",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "213407-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEANETTE",
"last_name": "KIRCH",
"prefix": "MS.",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.