Irina Mayberry, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11029039 Issued in FL

Practice address

138 Cottonwood Cir
Lynn Haven, FL 32444-4776

Phone

(731) 707-1627

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJAFBA/Endpoint/AJAFBA
• FHIR API: https://fhir4.healow.com/fhir/r4/BEHAED/Endpoint/BEHAED
• FHIR API: https://fhir4.healow.com/fhir/r4/JCICCD

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.

• Sweetbay Health and Wellness

  • Adult Medicine Physician
  • Panama City Beach, FL
  • NPI 1407714892
  Medicare reassignment NPD Authorized official
• Amir Manzoor, MD, PA

  • Specialist
  • Panama City, FL
  • NPI 1558558171
  Medicare reassignment NPD

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1083495980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 COTTONWOOD CIR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444776",
            "telephone_number": "731-707-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 COTTONWOOD CIR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444776",
            "telephone_number": "731-707-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "IRINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11029039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Pell Cde RDN LDN LLC
• Maria U Tedtaotao MD PA (Zoe Family Care Clinic)
• Mark M. Williams, M.D., P.a.
• Jeannie Guerelle Marquis, LMT
• Tia Tajuana Martin
• MDL Health, PLLC
• Medstop PL LLC
• Daniel G Melzer, DMD
• Marcia B Melzer, M.,ED.,CCC/SLP
• Catherine Denise Merritt

• Nurse Practitioner in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.