Active NPI
Regina Velasco, D.O.
- Psychiatry Physician
- Tampa, FL
National Provider Identifier
1851407613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS9244
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embracing Changes Center for Wellness LLC | Current | Accepting new patients |
Locations
4830 W Kennedy Blvd
Ste 634
Tampa, FL 33609
Phone (813) 486-4920
Networks
- Freedom Health HMO Network
Interoperability endpoints
- 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.
-
- Clinical Social Worker
- Tampa, FL
- NPI 1003477662
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.