LESLIE ANNE BROWN-VELAZQUEZ (NPI# 1265649420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265649420 |
| Entity Type | Individual |
| Full Name | LESLIE ANNE BROWN-VELAZQUEZ |
| Credential | PA-C, MHP |
| Practice Address |
124 Professors Row Medford MA 02155 |
| Practice Telephone | 6176273350 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 20 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
124 PROFESSORS ROW |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932156106 | Nandini Talwar | Psychiatry & Neurology | 124 Professors Row, Tufts Univ Health Services, Medford, MA 02155 | 2006-05-31 |
| 1104376904 | Mariah Swiech Henderson | Physician Assistant | 124 Professors Row, Medford, MA 02155-5816 | 2016-10-05 |
| 1669658712 | Tufts University Health Service | Clinic/Center | 124 Professors Row, Medford, MA 02155-5816 | 2008-01-18 |
| 1235320383 | Zara Konarski | Clinical Nurse Specialist | 124 Professors Row, Medford, MA 02155 | 2007-08-05 |
| 1275747974 | Janie Pollack | Internal Medicine | 124 Professors Row, Medford, MA 02155 | 2007-05-10 |
| 1093928806 | Susan Fay Mahoney | Registered Nurse | 124 Professors Row, Tufts University Health Service, Medford, MA 02155-5816 | 2007-05-08 |
| 1437362084 | Mary Jo Holland | Nurse Practitioner | 124 Professors Row, Medford, MA 02155-5816 | 2007-05-08 |
| 1063541928 | Kathleen M O'dea | Physician Assistant | 124 Professors Row, Medford, MA 02155-5816 | 2007-03-05 |
| 1013043603 | John A Myers | Pediatrics | 124 Professors Row, Medford, MA 02155-5816 | 2007-02-26 |
| 1629120407 | Ellen Creamer Sitron | Nurse Practitioner | 124 Professors Row, Tufts University Health Services, Medford, MA 02155 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867856 | Megan Elaine Stewart | Physician Assistant | 3773 Pinetop Dr, Medford, OR 97504-9638 | 2020-10-08 |
| 1811506355 | Nicholas Fantony | Physician Assistant | 28 Leyden St, Medford, MA 02155-6674 | 2020-07-30 |
| 1033739164 | Giana Brunetti | Physician Assistant | 2 Liverpool Way, Medford, NJ 08055-4023 | 2020-04-18 |
| 1881238087 | Rosivel Flores | Physician Assistant | 853 Old Medford Ave, Medford, NY 11763-3521 | 2019-10-30 |
| 1942844386 | Aileen Yaeger | Physician Assistant | 30 Syracuse Ave, Medford, NY 11763-3621 | 2019-10-29 |
| 1568949477 | Evan Xanthos | Physician Assistant | 1600 Delta Waters Rd Ste 107, Medford, OR 97504-9114 | 2018-07-24 |
| 1104369099 | Cullen Anthony Mack | Physician Assistant | 235 E Barnett Rd, Suite 106, Medford, OR 97501-7901 | 2016-11-23 |
| 1053863662 | Mark Thomas Kestner | Physician Assistant | 44 Manning St, Medford, MA 02155-4422 | 2016-10-30 |
| 1972058840 | Victoria Rose Acilio | Physician Assistant | 103 Old Marlton Pike Ste 201, Medford, NJ 08055-8772 | 2016-08-22 |
| 1962896944 | Jeremy Klimar | Physician Assistant | 407 Jesse Ct, Medford, NY 11763-2139 | 2015-03-26 |
| Find all providers in MEDFORD | ||||
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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.