Active NPI
Tahira Sanchez Ilarraza, DNP-FNP
- Family Nurse Practitioner
- Spring Valley, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F350954-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F350954-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Damian Family Care Centers, Inc. | Current | Accepting new patients | |
| Damian Family Care Centers, Inc. | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients | |
| Damian Family Care Centers, Inc. | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1508955592
-
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1487923595
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1922857267
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.