Individual provider Active NPI

Barbara Irizarry-Luke, RN

  • Registered Nurse
  • Pembroke Park, FL
National Provider Identifier
1053613117
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9212291 Issued in FL
Practice address
3127 W. Hallandale Beach Blvd.
Suite 115
Pembroke Park, FL 33009
Phone
(754) 816-3071
Fax
(754) 816-3077
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9212291 FL Primary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN9212291 FL
Case Management Registered Nurse 163WC0400X RN9212291 FL
Diabetes Educator Registered Nurse 163WD0400X RN9212291 FL
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN9212291 FL
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9212291 FL
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN9212291 FL

Addresses

Primary practice location

3127 W. Hallandale Beach Blvd.
Suite 115
Pembroke Park, FL 33009

Mailing address

2006 N.46TH Ave
Hollywood, FL 33021
Phone (954) 534-5773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9212291FLMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Center for Mental Health, PA. Past Accepting new patients
GTC Healthcare Services Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1053613117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 N.46TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-534-5773",
            "fax_number": "754-816-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 W. HALLANDALE BEACH BLVD.",
            "address_2": "SUITE 115",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "754-816-3071",
            "fax_number": "754-816-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY-LUKE",
        "first_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9212291",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "RN9212291",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN9212291",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "RN9212291",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "FL",
            "license": "RN9212291",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9212291",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "RN9212291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.