Laurel Te Velde

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

Practice address

1385 N Hamilton Pkwy
Novato, CA 94949-8276

Phone

(510) 552-7542

NPI assigned

Sep 30, 2020

Last updated

Sep 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1568079887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 N HAMILTON PKWY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949498276",
            "telephone_number": "510-552-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 N HAMILTON PKWY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949498276",
            "telephone_number": "510-552-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TE VELDE",
        "first_name": "LAUREL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltevelde@hbofm.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "1385 N Hamilton Pkwy",
            "city": "Novato",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949498276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Research Study Specialist in Novato, CA
• Providers in Novato, CA by specialty
• Research Study Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.