Miranda Brittany Velasquez

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001967 Issued in VA

Practice address

8986 Lorton Station Blvd
Lorton, VA 22079-4753

Phone

(571) 616-9579

NPI assigned

Jun 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  Audiologist, DC, VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1689306995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 STAR LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522430",
            "telephone_number": "301-525-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8986 LORTON STATION BLVD",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794753",
            "telephone_number": "571-616-9579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 N Broadway Ste 403",
            "address_purpose": "LOCATION",
            "city": "Jericho",
            "state": "NY",
            "postal_code": "117532000",
            "country_code": "US",
            "telephone_number": "516-605-0360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "MIRANDA",
        "middle_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001967",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Dental Sleep Medicine, PLLC
• Universal Medical Equipment Inc
• Urgent Care Supplies LLC
• Anna Monina Mendoza Vanta, SLP CCC
• Debora Vasquez, M.D.
• Velorix Medical LLC
• Virginia Critical Care PLLC
• Dannielle Vonderlinden, DPM
• Kellie N Wadsworth, DPT
• Walgreen Co

• Audiologist in Lorton, VA
• Providers in Lorton, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.