Individual provider Active NPI

Irina Bratan, FNP-BC

  • Nurse Practitioner
  • Vernon, CT
National Provider Identifier
1114567922
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11005519 Issued in FL
Practice address
35 Talcottvile Road
Vernon, CT 06066
Phone
(860) 787-5774
NPI assigned
Jan 9, 2020
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61497288 WA
Family Nurse Practitioner 363LF0000X 008988 CT
Nurse Practitioner 363L00000X 11005519 FL Primary

Addresses

Primary practice location

35 Talcottvile Road
Vernon, CT 06066

Mailing address

1290 Silas Deane Hwy
HHC Cvo Enrollment 1St Floor
Wethersfield, CT 06109-4337
Phone (860) 972-6970

Other practice location 1

614 NE 20th Ln
Boynton Beach, FL 33435-2428
Phone (561) 603-8895

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.lagomweightloss.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA, TX, WA, AZ, OK6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20200908000196 CT Practitioner - Nurse Practitioner 9436576402 Reassigns benefits to 1 organization
I20201210001598 CA Practitioner - Nurse Practitioner 9436576402 Reassigns benefits to 2 organizations
I20210423000060 TX Practitioner - Nurse Practitioner 9436576402 Reassigns benefits to 2 organizations
I20231122003111 WA Practitioner - Nurse Practitioner 9436576402 Reassigns benefits to 4 organizations
I20240614000738 AZ Practitioner - Nurse Practitioner 9436576402 Reassigns benefits to 1 organization
I20250515001505 OK Practitioner - Nurse Practitioner 9436576402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Emergency Medicine of Arizona IncGroup PAC ID 5799066650, 41 clinicians

Practice addresses (Care Compare)

5700 E Hwy 90
Sierra Vista, AZ 85635-9110
Phone (520) 417-4594

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005519FLMDNurse Practitioner
AP61497288WAMDNurse Practitioner
008988CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Oklahoma TCS LLC CurrentSince May 1, 2025 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Aug 1, 2020 Accepting new patients
Winslow Indian Health Care Center, Inc Current Accepting new patients
Winslow Indian Health Care Group CurrentSince Aug 7, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Dilkon Medical Center Current Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Aug 7, 2023 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Jul 17, 2021 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Jul 17, 2021 Accepting new patients
Tri-State Memorial Hospital Current Accepting new patients
Grant County Public Hospital District 1 CurrentSince Jun 1, 2025 Accepting new patients
Grant County Public Hospital District 1 Current Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Aug 1, 2022 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Nurse Practitioner CurrentSince Apr 20, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Aug 1, 2022 Accepting new patients
Tri-State Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Tri-State Memorial Hospital CurrentSince Nov 15, 2023 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Jun 1, 2025 Accepting new patients
Tri-State Memorial Hospital CurrentSince Nov 15, 2023 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Dec 26, 2020 Accepting new patients

Locations

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

35 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 870-6337

1290 Silas Deane Hwy
Fl 1
Wethersfield, CT 06109
Phone (860) 972-6970

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

1221 Highland Ave
Ste 5
Clarkston, WA 99403

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

660 S Coolidge St
Moses Lake, WA 98837

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1114567922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HHC CVO ENROLLMENT 1ST FLOOR",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TALCOTTVILE ROAD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "06066",
            "telephone_number": "860-787-5774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 NE 20th Ln",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334352428",
            "country_code": "US",
            "telephone_number": "561-603-8895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRATAN",
        "first_name": "IRINA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61497288",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "008988",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lagomweightloss.com",
            "affiliation": "N",
            "endpointDescription": "personal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Boynton Beach",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Boynton Beach",
            "address_1": "614 NE 20th Ln",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334352428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.