Vashawn Theresa Ireland, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11028055 Issued in FL

Practice address

9522 NW 65TH St
Tamarac, FL 33321-3550

Phone

(954) 552-3495

NPI assigned

Aug 11, 2023

Sex

Female

Sole proprietor

Yes

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, NY, MI, TX, CT, VT6 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Infinite Medical PCGroup PAC ID 8325477656, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vibrant Vitality LLC

  • Clinic/Center
  • Tamarac, FL
  • NPI 1255137584

  Single Specialty

  Medicare reassignment NPD Authorized official
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  CT, FL, MI, NY, Single Specialty, TX, VT

  Medicare reassignment Care Compare group NPD
• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1144903428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 NW 65TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213550",
            "telephone_number": "954-552-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 NW 65TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213550",
            "telephone_number": "954-552-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "VASHAWN",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Soul Care Consultants LLC
• Interventional Rehabilitation of South Florida, Inc.
• Interventional Rehabilitation of South Florida, Inc.
• Introspective, LLC
• Isabel M. Acosta Valdes, DDS., PA
• Bella Isanova
• Island Breeze Chiropractic and Wellness Center (Island Breeze Chiro and Wellness Center)
• Ismail M.D., P.a.
• Issachar Inc (Issachar Life Coach Recovery Center)

• Family Nurse Practitioner in Tamarac, FL
• Providers in Tamarac, 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 Aug 11, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.