ANGELINA FRANCISCA VELASQUEZ (NPI# 1174025589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174025589 |
| Entity Type | Individual |
| Full Name | ANGELINA FRANCISCA VELASQUEZ |
| Practice Address |
2428 W Reynolds Ave Sw Centralia WA 98531-4554 |
| Mailing Address |
3115 Ives Rd Apt E4 Centralia WA 98531-9424 |
| Practice Telephone | 3603309044 |
| Mailing Telephone | 3603243168 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8282 28th Ct Ne Ste A, Lacey, WA 985167162 | 3609166868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316458565 | Angelina Marie Velasquez | Licensed Practical Nurse | 2601 Andrea Ln, Sallisaw, OK 74955-1890 | 2017-10-16 |
| Street Address |
2428 W REYNOLDS AVE SW |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943551 | Dianna Bustos | Counselor | 2428 W Reynolds Ave Sw, Centralia, WA 98531-4554 | 2020-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857172 | Aurora Cecelia Beck | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-10-06 |
| 1447857180 | Kristina Chavez | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-10-06 |
| 1639789381 | Lindsay Baker | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-08-07 |
| 1184234064 | Brent Garrett Erwin | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-08-05 |
| 1245848589 | Falisha Irene Bazemore | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-07-22 |
| 1467075028 | Amy A Hollinger | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-05-18 |
| 1780206409 | Justin Wimpress | Peer Specialist | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-05-15 |
| 1346861002 | Tamie L. Mccrandall | Peer Specialist | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-05-04 |
| 1407489305 | Chelsea Emmalee Morgan | Peer Specialist | 209 W Main St, Centralia, WA 98531-4245 | 2020-02-19 |
| 1912540840 | Marjie Paulline Hixson | Peer Specialist | 1641 Kresky Ave, Centralia, WA 98531-8912 | 2019-10-23 |
| Find all providers in CENTRALIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.