Individual provider Active NPI

Irene Villalpando

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1023448735
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5224 Issued in AZ
Practice address
2270 S Ridgeview Dr Ste 303
Yuma, AZ 85364-8866
Phone
(928) 782-1903
Fax
(928) 782-1703
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP5224 AZ
Family Nurse Practitioner 363LF0000X AP5224 AZ Primary

Addresses

Primary practice location

2270 S Ridgeview Dr Ste 303
Yuma, AZ 85364-8866

Mailing address

PO Box 5148
Yuma, AZ 85366-2458
Phone (928) 782-1903

Other identifiers 1

IdentifierTypeStateIssuer
877704MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140225000154 AZ Practitioner - Nurse Practitioner 7618107392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP5224AZMDFamily Nurse Practitioner
TAP5224AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Yuma Regional Medical Center CurrentSince Sep 1, 2015 Accepting new patients

Locations

2851 S Avenue B
Bldg 25
Yuma, AZ 85364
Phone (928) 336-7020

2270 S Ridgeview Dr
Ste 303
Yuma, AZ 85364
Phone (928) 336-2575

2451 S Avenue A
Ste A104
Yuma, AZ 85364
Phone (928) 336-2164

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1023448735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5148",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662458",
            "telephone_number": "928-782-1903",
            "fax_number": "928-782-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 S RIDGEVIEW DR STE 303",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648866",
            "telephone_number": "928-782-1903",
            "fax_number": "928-782-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALPANDO",
        "first_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP5224",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "877704",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.