Individual provider Active NPI

Tina Michelle Barrett, FNP

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1023751575
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017451 Issued in FL
Practice address
5125 Rosewood LN
Vero Beach, FL 32966-2242
Phone
(772) 766-2941
NPI assigned
Apr 13, 2022
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11017451 FL Primary

Addresses

Primary practice location

5125 Rosewood LN
Vero Beach, FL 32966-2242

Mailing address

5125 Rosewood LN
Vero Beach, FL 32966-2242
Phone (772) 766-2941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220524001141 FL Practitioner - Nurse Practitioner 4082091400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Primary CareGroup PAC ID 0446152789, 10 clinicians

Practice addresses (Care Compare)

1715 37TH Place
2ND Floor
Vero BCH, FL 32960-4502
Phone (772) 794-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11017451FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Primary Care CurrentSince May 17, 2022 Accepting new patients

Locations

1715 37th Pl
Fl 2
Vero Beach, FL 32960
Phone (772) 567-4336

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HECFAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HECFAD/Endpoint/HECFAD

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1023751575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 ROSEWOOD LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329662242",
            "telephone_number": "772-766-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 ROSEWOOD LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329662242",
            "telephone_number": "772-766-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "TINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.