JISELLE AMY VELAZQUEZ


Address: 6165 Fuller Ct, Alexandria, VA 22310-2541
Phone: 5407202261

JISELLE AMY VELAZQUEZ (NPI# 1821344433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821344433
Entity Type Individual
Full Name JISELLE AMY VELAZQUEZ
Credential OTR/L
Practice Address 6165 Fuller Ct
Alexandria
VA 22310-2541
Mailing Address 2765 Jefferson Davis Hwy
Suite 209
Stafford
VA 22554-8331
Practice Telephone 5407202261
Practice Fax Number 5407205660
Mailing Telephone 5407202261
Mailing Fax Number 5407205660
Enumeration Date 2012-08-01
Last Update Date 2012-08-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker 0119005607 VA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TAX ID 26-0184527 01

Office Location

Street Address 6165 FULLER CT
City ALEXANDRIA
State VA
Zip Code 22310-2541

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487959045 Christine M Zanni Speech-Language Pathologist 6165 Fuller Ct, Alexandria, VA 22310-2541 2011-01-12
1023460912 Walston Health Services, LLC Clinic/Center 6165 Fuller Ct, Suite 2, Alexandria, VA 22310-2541 2016-07-05
1265894745 Tonya L Walston Nurse Practitioner 6165 Fuller Ct, Suite 2, Alexandria, VA 22310-2541 2016-03-24
1306124581 Cheryl Ann Schlitt Occupational Therapist 6165 Fuller Ct, Alexandria, VA 22310-2541 2011-07-22
1154619336 Fleming Speech Therapy Services, Inc. Clinic/Center 6165 Fuller Ct, Alexandria, VA 22310-2541 2011-07-21
1386939726 Jacie Amber Curry Speech-Language Pathologist 6165 Fuller Ct, Alexandria, VA 22310-2541 2011-06-14

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1881890648 Neal Kevin Maru Psychiatry & Neurology 6355 Walker Lane, 313, Alexandria, VA 22310 2007-06-26
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821596156 Tikia Nicole Johnson Community Health Worker 2705 Park Center Dr, Alexandria, VA 22302-1418 2018-02-01
1932579315 Jody Albert Buckner Community Health Worker 1220 Shirland Ave, Alexandria, LA 71301-7246 2015-09-29
1346551843 Candy Nathe Community Health Worker 901 Highway 29 N, Suite 105, Alexandria, MN 56308-5011 2010-06-30
1811422199 Christina Coney Community Health Worker 4606 Lee St, Alexandria, LA 71302 2017-04-25
1740630284 Wanel N Lewis Community Health Worker 1106 Macarthur Dr, Ste 6, Alexandria, LA 71303-3122 2016-06-15
1427286178 Tysha-monique Helen Talavera Community Health Worker 6910 Richmond Hwy, Alexandria, VA 22306-1849 2009-07-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245831403 Julia Patrice Watkins Community Health Worker 254 W Bay Ave # F112, Norfolk, VA 23503-4564 2020-11-04
1740889872 Tandrea Graham Community Health Worker 628 Old Wagner Rd, Petersburg, VA 23805-9319 2020-10-20
1306486683 Brandi Mercedes Pryor Community Health Worker 1870 Lambs Rd, Charlottesville, VA 22901-8975 2020-01-14
1518502822 Charles Augustus Logan Jr. Community Health Worker 625 Piney Forest Rd Ste 307b, Danville, VA 24540-2869 2019-11-11
1225671894 Erica Blackwell Community Health Worker 3015 Grantwood Rd, Richmond, VA 23225-1535 2019-10-25
1467093732 Virginia Aba LLC Community Health Worker 1201 Old Francis Rd, Glen Allen, VA 23059-4504 2019-10-08
1669024576 Katina L Gilliam Community Health Worker 1800 Carneal St, Richmond, VA 23223-2412 2019-07-10
1013577287 Danny Thompson Sr. Community Health Worker 9100 Arboretum Pkwy Ste 180, North Chesterfield, VA 23236-3491 2019-06-19
1972098887 Shervon Tanyer Dubique Community Health Worker 3630 S Plaza Trl Ste 210j, Virginia Beach, VA 23452-3366 2018-06-25
1114411279 Percilla D Zeno Community Health Worker 102 Niblick Cir, Suffolk, VA 23434 2018-06-21
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Competitor

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City ALEXANDRIA
Zip Code 22310

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Dataset Information

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.

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