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GENESIS Y VELASQUEZ
NPI 1134864929
Nurse Practitioner - Family in Eielson Afb, AK

Active since May 05, 2022
2630 CENTRAL AVE, EIELSON AFB, AK 99702(907) 377-6980 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, May 5, 2022 (2 updates tracked since 2022).

About Genesis Y Velasquez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS Y VELASQUEZ (NPI 1134864929) is an individual family provider in Eielson Afb, Alaska, licensed in Arizona (XXXXXXX) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1134864929
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGENESIS Y VELASQUEZ
Location Address2630 CENTRAL AVEEielson Afb, AK 99702-2301
Mailing Address2630 Central AveEielson Afb, AK 99702-2301 · (907) 377-6980
Phone(907) 377-6980
Sole ProprietorYes
Enumeration DateMay 5, 2022
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1134864929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · XXXXXXX
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2630 CENTRAL AVE, Eielson Afb, AK 99702
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY GENE BROOME PHYSICIAN ASSISTANT
Physician Assistant (Medical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 337-6737
NATALIE ELAINE PETER LISW
Social Worker (Clinical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-3071
NICOLE ANNE SOTO
Nurse Practitioner (Pediatrics)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough No phone listed
MATTHEW GRAY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (931) 220-2210
DR. JEREMY MANTLE WELLS D.D.S.
Dentist
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6767
CAMVY VICTORIA PHAN DO
Pediatrics
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6455
NICHOLE KILINC PA-C
Physician Assistant (Medical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-1847
DR. MATTHEW GRAY CORBIN DDS
Dentist
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Velasquez's NPI number?

The NPI number for Genesis Velasquez is 1134864929. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Genesis Velasquez located?

Genesis Velasquez practices at 2630 Central Ave, Eielson Afb, AK 99702. The listed phone number is (907) 377-6980.

What is Genesis Velasquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Genesis Velasquez was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.