1891837464 NPI number — SANDRA DENISE VELASQUEZ AU.D., CCC-A

NPI Number: 1891837464
Health Care Provider/Practitioner: SANDRA DENISE VELASQUEZ AU.D., CCC-A

NPI Number : 1891837464 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891837464",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VELASQUEZ",
    "FirstName": "SANDRA",
    "MiddleName": "DENISE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "AU.D., CCC-A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHICK",
    "OtherFirstName": "SANDRA",
    "OtherMiddleName": "DENISE GETCHELL",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "AU.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "216 BUFKIN LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOCKHART",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78644-4006",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-398-4000",
    "MailingAddressFaxNumber": "512-582-8272",
    "FirstLinePracticeLocationAddress": "216 BUFKIN LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOCKHART",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78644-4006",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-398-4000",
    "PracticeLocationAddressFaxNumber": "512-668-5100",
    "EnumerationDate": "02/12/2007",
    "LastUpdateDate": "05/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "51738",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "51738",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}