Individual provider Active NPI

Sherise Cortez-Velazquez, LAC.

  • Other Technician
  • New York, NY
National Provider Identifier
1740479054
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
003964 Issued in NY
Practice address
32 Union SQ E
C/O Wellspace Suite 411
New York, NY 10003-3209
Phone
(917) 753-0783
NPI assigned
Oct 23, 2007
Last updated
Oct 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 003964 NY Primary

Addresses

Primary practice location

32 Union SQ E
C/O Wellspace Suite 411
New York, NY 10003-3209

Mailing address

445 5TH Ave
10B
New York, NY 10016-0133
Phone (917) 753-0783

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1740479054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 5TH AVE",
            "address_2": "10B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160133",
            "telephone_number": "917-753-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E",
            "address_2": "C/O WELLSPACE SUITE 411",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033209",
            "telephone_number": "917-753-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ-VELAZQUEZ",
        "first_name": "SHERISE",
        "credential": "LAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NY",
            "license": "003964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.