Raquel F. Vasquez, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

35016 Issued in KY

Practice address

1675 S Main St
London, KY 40741-2050

Phone

(606) 878-1961

Fax

(606) 877-1958

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Psychiatry

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

London Women's Care LLCGroup PAC ID 6204721566, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• London Women's Care, LLC

  • Obstetrics & Gynecology Physician
  • London, KY
  • NPI 1063454650
  Medicare reassignment Care Compare group
• Cumberland Family Behavioral Health, PLLC

  • Child & Adolescent Psychiatry Physician
  • London, KY
  • NPI 1659381580
  Authorized official Same address or phone
• Cumberland River Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Corbin, KY
  • NPI 1902023526
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962412890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 S MAIN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412050",
            "telephone_number": "606-878-1961",
            "fax_number": "606-877-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 S MAIN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412050",
            "telephone_number": "606-878-1961",
            "fax_number": "606-877-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "RAQUEL",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "35016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64092877",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unbridled Healthcare System LLC
• Upperline Healthcare PC
• Edward L Valentine III, PT
• Steven Roy Vanover, PTA
• Vascular Soultions of Kentucky
• Faith Vaughn
• Rebecca Vawter, D.M.D.
• Benjamin Vice, PHARMD
• Hazelee Vice, PHARMD
• Bridgett Wagers, OTRL

• Child & Adolescent Psychiatry Physician in London, KY
• Providers in London, KY by specialty
• Child & Adolescent Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.