Organization Active NPI

Tkvelez Surgical Assisting, Inc.

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1952779001
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9226068 Issued in FL
Legal business name
TKVELEZ SURGICAL ASSISTING, INC.
Practice address
42 Seaton Valley Path
Palm Coast, FL 32164-5365
Phone
(386) 453-7268
NPI assigned
Sep 7, 2015
Last updated
Sep 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Ms. Teresa Velez, ARNPNPI 1871880732
Title
President
Phone
(386) 453-7268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9226068 FL Primary
Registered Nurse First Assistant 163WR0006X ARNP 9226068 FL

Addresses

Primary practice location

42 Seaton Valley Path
Palm Coast, FL 32164-5365

Mailing address

42 Seaton Valley Path
Palm Coast, FL 32164-5365
Phone (386) 453-7268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190826000074 FL Part B Supplier - Clinic/Group Practice 0244568566 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Coast, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1952779001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SEATON VALLEY PATH",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645365",
            "telephone_number": "386-453-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SEATON VALLEY PATH",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645365",
            "telephone_number": "386-453-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKVELEZ SURGICAL ASSISTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-453-7268",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9226068",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "ARNP 9226068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.