Individual provider Active NPI

Alexandria Smith-Vasquez, LPC

  • Mental Health Occupational Therapist
  • Norfolk, VA
National Provider Identifier
1699191833
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
License
0701012389 Issued in VA
Practice address
3900 Llewellyn Ave
Norfolk, VA 23504-1203
Phone
(727) 205-2077
NPI assigned
Mar 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational Therapist 225XM0800X 0701012389 VA Primary

Addresses

Primary practice location

3900 Llewellyn Ave
Norfolk, VA 23504-1203

Mailing address

639 River Bend CT Apt 302
Newport News, VA 23602-7088
Phone (757) 344-4374

Other practice location 1

11713 Jefferson Ave
Newport News, VA 23606-2400
Phone (757) 503-2819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012389VAMDMental Health Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1699191833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 RIVER BEND CT APT 302",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027088",
            "telephone_number": "757-344-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LLEWELLYN AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041203",
            "telephone_number": "727-205-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11713 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062400",
            "country_code": "US",
            "telephone_number": "757-503-2819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH-VASQUEZ",
        "first_name": "ALEXANDRIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "VA",
            "license": "0701012389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.