Individual provider Active NPI

Lourdes Cristina Irizar, ARNP

  • Family Nurse Practitioner
  • Cartersville, GA
National Provider Identifier
1043496029
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3025842 Issued in FL
Practice address
1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-4221
Phone
(770) 382-0029
NPI assigned
Jan 21, 2008
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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 ARNP3025842 FL Primary

Addresses

Primary practice location

1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-4221

Mailing address

420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3000

Other identifiers 1

IdentifierTypeStateIssuer
001536200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090205000668 FL Practitioner - Nurse Practitioner 6507920568 Reassigns benefits to 2 organizations
I20190613003202 GA Practitioner - Nurse Practitioner 6507920568 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Nov 9, 2007 Accepting new patients
Wellbe Senior Medical Group of Georgia, P. C. CurrentSince Apr 22, 2024 Accepting new patients
South Miami Criticare Inc. CurrentSince Apr 27, 2011 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Jun 3, 2019 Accepting new patients
Floyd Healthcare Management Inc Family CurrentSince Jun 3, 2019 Accepting new patients

Locations

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6000 Joe Frank Harris Pkwy NW
Adairsville, GA 30103
Phone (770) 773-1534

1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (770) 382-0029

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

302 Shorter Ave NW
Rome, GA 30165
Phone (706) 291-3700

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

5 Concourse Pkwy
Ste 3100
Sandy Springs, GA 30328
Phone (855) 492-7642

Organizations & group practices 6

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": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1043496029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 JOE FRANK HARRIS PKWY SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204221",
            "telephone_number": "770-382-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZAR",
        "first_name": "LOURDES",
        "middle_name": "CRISTINA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3025842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001536200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.