SANDRA J VELAZQUEZ PEDIATRIC NP NPI 1043220155

NPI Information

NPI: 1043220155
Provider Name: SANDRA J VELAZQUEZ, PEDIATRIC NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
26 QUEEN ST
MEDICAL
WORCESTER, MA
ZIP 01610
Phone: (508) 860-7700
Get Directions

Sandra J Velazquez, PEDIATRIC NP is a pediatrics nurse practitioner in Worcester, MA. Sandra J Velazquez, PEDIATRIC NP NPI is 1043220155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

26 QUEEN ST
MEDICAL
WORCESTER, MA
ZIP 01610-473
Phone: (508) 860-7700
Fax: (508) 860-7990

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	175591	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	47954	OTHER	MASSACHUSETTS	FALLON SELECT
2	Y10141	OTHER	MASSACHUSETTS	BCBS-GROUP
3	NP1925	OTHER	MASSACHUSETTS	BCBS
4	0029009	OTHER	MASSACHUSETTS	NHP
5	1300709	OTHER	MASSACHUSETTS	CMSP
6	S85557	MEDICARE UPIN	MASSACHUSETTS
7	S85557	MEDICARE OSCAR/CERTIFICATION	MASSACHUSETTS
8	1300709	OTHER	MASSACHUSETTS	CMSP-GROUP
9	221804	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	PART A-GROUP
10	1300709	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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