Individual provider Active NPI

Tahira Sanchez Ilarraza, DNP-FNP

  • Family Nurse Practitioner
  • Spring Valley, NY
National Provider Identifier
1144929670
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F350954-01 Issued in NY
Practice address
21 Chestnut St
Spring Valley, NY 10977-5533
Phone
(845) 371-0034
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F350954-01 NY Primary

Addresses

Primary practice location

21 Chestnut St
Spring Valley, NY 10977-5533

Mailing address

51 Hansen Ave
New City, NY 10956-3134
Phone (845) 825-9706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20250203002241 NY Practitioner - Nurse Practitioner 9133659329 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F350954-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Damian Family Care Centers, Inc. CurrentSince Nov 11, 2024 Accepting new patients
Damian Family Care Centers, Inc. CurrentSince Nov 11, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC PastSince Feb 26, 2023 Accepting new patients
Damian Family Care Centers, Inc. PastSince Jul 13, 2025 Accepting new patients

Locations

2604 3rd Ave
Bronx, NY 10454
Phone (718) 292-0100

599 Ralph Ave
Brooklyn, NY 11233
Phone (347) 501-6306

751 Briggs Hwy
Ellenville, NY 12428
Phone (845) 647-2000

13750 Jamaica Ave
Jamaica, NY 11435
Phone (718) 298-5100

8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000

3411 Vernon Blvd
Long Island City, NY 11106
Phone (646) 505-2003

13 Hell Gate Cir
New York, NY 10035
Phone (212) 426-6633

225 E 53rd St
New York, NY 10022
Phone (212) 829-1200

219 E 121st St
New York, NY 10035
Phone (212) 987-5100

216 Fox Hollow Rd
Rhinebeck, NY 12572
Phone (845) 516-1002

11711 Myrtle Ave
Richmond Hill, NY 11418
Phone (718) 847-9233

13020 89th Rd
Richmond Hill, NY 11418
Phone (718) 441-8913

Organizations & group practices 4

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1144929670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HANSEN AVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563134",
            "telephone_number": "845-825-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CHESTNUT ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775533",
            "telephone_number": "845-371-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILARRAZA",
        "first_name": "TAHIRA",
        "middle_name": "SANCHEZ",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350954-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.