Beacon Advanced Practice Group LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BEACON ADVANCED PRACTICE GROUP LLC

Practice address

335 Tamar CT
St Augustine, FL 32095-7539

Phone

(904) 366-9981

Fax

(629) 899-7995

NPI assigned

Dec 16, 2025

Organization subpart

No

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

Authorized official

Name

Irina Vella, APRN, FNP-BC, WCCNPI 1962243030

Title

Owner / Authorized Official

Phone

(904) 366-9981

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irina E Vella, APRN, FNP

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1962243030

  Family

  NPD Authorized official

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1114881877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 TAMAR CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320957539",
            "telephone_number": "904-366-9981",
            "fax_number": "629-899-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 TAMAR CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320957539",
            "telephone_number": "904-366-9981",
            "fax_number": "629-899-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON ADVANCED PRACTICE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "VELLA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "904-366-9981",
        "authorized_official_credential": "APRN, FNP-BC, WCC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.