Active NPI
Michelle R Velasquez, APN
- Pediatric Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1861707069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN001219
- Practice address
- 4424 S Eastern Ave
Las Vegas, NV 89119-7825 - Phone
- (702) 732-7440
- Fax
- (702) 732-9672
- NPI assigned
- Aug 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APN001219 | NV | Primary |
Addresses
Primary practice location
4424 S Eastern Ave
Las Vegas, NV 89119-7825
Mailing address
4424 S Eastern Ave
Las Vegas, NV 89119-7825
Phone (702) 732-7440
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN001219 | NV | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Spring Valley Medical Center | Past | Accepting new patients | |
| Bernstein Pediatrics, LLC | Past | Accepting new patients | |
| Francisco Peraza MD PC | Past | Accepting new patients |
Organizations & group practices 4
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
- Las Vegas, NV
- NPI 1598407686
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1699962431
-
- Rehabilitation Hospital Unit
- Las Vegas, NV
- NPI 1568439693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1861707069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197825",
"telephone_number": "702-732-7440",
"fax_number": "702-732-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197825",
"telephone_number": "702-732-7440",
"fax_number": "702-732-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "MICHELLE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NV",
"license": "APN001219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.