Individual provider Active NPI

Elizabeth Vasquez, FNP BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1447585385
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
710045 Issued in TX
Practice address
110 E 60TH St RM 908
New York, NY 10022-1730
Phone
(212) 223-8300
NPI assigned
Oct 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 710045 TX Primary

Addresses

Primary practice location

110 E 60TH St RM 908
New York, NY 10022-1730

Mailing address

110 E 60TH St RM 908
New York, NY 10022-1730
Phone (512) 289-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000156 TX Practitioner - Nurse Practitioner 3577697036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
710045TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group Current Accepting new patients
Dell Children'S Medical Group CurrentSince Aug 1, 2016 Accepting new patients
Dell Children'S Medical Group CurrentSince Aug 1, 2016 Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology PastSince Mar 19, 2023 Accepting new patients
Seton Family of Doctors Past Accepting new patients
Seton Family of Doctors Past Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Organizations & group practices 6

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": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1447585385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST RM 908",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221730",
            "telephone_number": "512-289-4222",
            "fax_number": "512-462-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST RM 908",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221730",
            "telephone_number": "212-223-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "710045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.