Active NPI
Lisa Ann Velasquez, M.D.
- Pediatric Anesthesiology Physician
- St Petersburg, FL
National Provider Identifier
1780625665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- ME87485
- Practice address
- 501 6TH Ave S
St Petersburg, FL 33701-4634 - Phone
- (727) 767-8480
- Fax
- (727) 767-8420
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME87485 | FL | |
| Pediatric Anesthesiology Physician | 207LP3000X | ME87485 | FL | Primary |
Addresses
Primary practice location
501 6TH Ave S
St Petersburg, FL 33701-4634
Mailing address
601 5TH St S
5TH Floor Dept 6941
St Petersburg, FL 33701
Phone (727) 767-8480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266730400 | Medicaid | FL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME87485 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physician Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1780625665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 5TH ST S",
"address_2": "5TH FLOOR DEPT 6941",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33701",
"telephone_number": "727-767-8480",
"fax_number": "727-767-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 6TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014634",
"telephone_number": "727-767-8480",
"fax_number": "727-767-8420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME87485",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "FL",
"license": "ME87485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266730400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.