Individual provider Active NPI

Regina Velasco, D.O.

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1851407613
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS9244 Issued in FL
Practice address
13000 Bruce B Downs Blvd
Jahva Medical Center
Tampa, FL 33612-4745
Phone
(813) 972-2000
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS9244 FL Primary

Addresses

Primary practice location

13000 Bruce B Downs Blvd
Jahva Medical Center
Tampa, FL 33612-4745

Mailing address

2725 Via Cipriani
Unit 722B
Clearwater, FL 33764-3963
Phone (727) 542-5380

Other practice location 1

4830 W Kennedy Blvd Ste 634
Tampa, FL 33609-2564
Phone (813) 486-4920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201209001312 FL Practitioner - Psychiatry 7012153703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Embracing Changes Center for Wellness LLCGroup PAC ID 1951713361, 2 clinicians

Practice addresses (Care Compare)

4830 W Kennedy Blvd
Suite 634
Tampa, FL 33609-2564
Phone (813) 486-4920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Embracing Changes Center for Wellness LLC CurrentSince Oct 26, 2020 Accepting new patients

Locations

4830 W Kennedy Blvd
Ste 634
Tampa, FL 33609
Phone (813) 486-4920

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: embracingchangescenterforwellness.reginavelasco@147544.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1851407613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 VIA CIPRIANI",
            "address_2": "UNIT 722B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643963",
            "telephone_number": "727-542-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 BRUCE B DOWNS BLVD",
            "address_2": "JAHVA MEDICAL CENTER",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124745",
            "telephone_number": "813-972-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4830 W Kennedy Blvd Ste 634",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336092564",
            "country_code": "US",
            "telephone_number": "813-486-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS9244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.