Active NPI
Juan Velez
- Psychiatric/Mental Health Nurse Practitioner
- Coral Springs, FL
National Provider Identifier
1457700700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN9320974
- Practice address
- 5824 NW 122ND Dr
Coral Springs, FL 33076-1938 - Phone
- (786) 355-8035
- NPI assigned
- Jun 8, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN9320974 | FL | Primary |
Addresses
Primary practice location
5824 NW 122ND Dr
Coral Springs, FL 33076-1938
Mailing address
5824 NW 122ND Dr
Coral Springs, FL 33076-1938
Phone (786) 355-8035
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9320974 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1457700700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5824 NW 122ND DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330761938",
"telephone_number": "786-355-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5824 NW 122ND DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330761938",
"telephone_number": "786-355-8035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ",
"first_name": "JUAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "RN9320974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.