Individual provider Active NPI

Mislaidy Sarmiento Iraola, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1033932256
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11036364 Issued in FL
Practice address
4604 Southbreeze Dr
Tampa, FL 33624-1632
Phone
(813) 852-4035
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 11036364 FL Primary

Addresses

Primary practice location

4604 Southbreeze Dr
Tampa, FL 33624-1632

Mailing address

4604 Southbreeze Dr
Tampa, FL 33624-1632
Phone (813) 852-4035

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
I20251008003275 FL Practitioner - Nurse Practitioner 5496252199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seasons Medical Group of Florida PAGroup PAC ID 0941451314, 44 clinicians

Practice addresses (Care Compare)

1408 N W Shore Blvd
Suite 260
Tampa, FL 33607-4590
Phone (813) 607-2630

Hospital & facility affiliations

  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11036364FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Florida PA CurrentSince Sep 1, 2025 Accepting new patients
Seasons Hospice & Palliative Care of Tampa, LLC PastSince Sep 1, 2025 Accepting new patients

Locations

17757 US Highway 19 N
Ste 175
Clearwater, FL 33764
Phone (727) 270-9800

1408 N West Shore Blvd
Ste 260
Tampa, FL 33607
Phone (813) 607-2630

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 and National Provider Directory roles.

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": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1033932256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 SOUTHBREEZE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241632",
            "telephone_number": "813-852-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 SOUTHBREEZE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241632",
            "telephone_number": "813-852-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMIENTO IRAOLA",
        "first_name": "MISLAIDY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.