Individual provider Active NPI

Isa Vazquez, ARNP

  • Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1235619107
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9370209 Issued in FL
Practice address
1930 NE 47TH St Ste 300
Fort Lauderdale, FL 33308-7729
Phone
(954) 493-5393
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9370209 FL Primary

Addresses

Primary practice location

1930 NE 47TH St Ste 300
Fort Lauderdale, FL 33308-7729

Mailing address

11350 McCormick Rd
Executive Plaza 1, Ste. 501
Hunt Valley, MD 21031-2358
Phone (703) 914-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ivazquez@nationalspine.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190129003000 FL Practitioner - Nurse Practitioner 2466799457 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain and Rehabilitation Associates IncGroup PAC ID 6204732605, 69 clinicians

Practice addresses (Care Compare)

150 SW Chamber CT
Suite 105
Port St Lucie, FL 34986-3413
Phone (772) 807-9000

1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone (407) 622-5766

5365 W Atlantic Ave
Suite 504
Delray Beach, FL 33484-8194
Phone (561) 241-9300

5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone (407) 228-8080

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9370209FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Surgical Centers of America LLC CurrentSince Dec 1, 2020 Accepting new patients
National Surgical Centers of America LLC CurrentSince Dec 1, 2020 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Dec 1, 2020 Accepting new patients
National Surgical Centers of America LLC CurrentSince Dec 1, 2020 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Dec 1, 2020 Accepting new patients
Florida Pain and Rehabilitation Associates Inc Current Accepting new patients
Florida Pain and Rehabilitation Institute Inc Past Accepting new patients

Locations

15127 S Jog Rd
Ste 106
Delray Beach, FL 33446
Phone (561) 488-4444

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

6550 N Federal Hwy
Ste 522
Fort Lauderdale, FL 33308
Phone (469) 458-9222

1930 NE 47th St
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 493-5048

6550 N Federal Hwy
Ste 512
Ft Lauderdale, FL 33308
Phone (954) 267-8777

451 S Milwee St
Ste 1010
Longwood, FL 32750
Phone (321) 424-6950

1530 Citrus Medical Ct
Ste 101
Ocoee, FL 34761
Phone (321) 320-8790

12301 Lake Underhill Rd
Ste 121
Orlando, FL 32828
Phone (321) 733-0064

1170 S Semoran Blvd
Orlando, FL 32807
Phone (407) 622-7246

5948 Turkey Lake Rd
Orlando, FL 32819
Phone (407) 228-8080

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: ivazquez@flpmi-fl.direct.office.nextgen.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1235619107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, STE. 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210312358",
            "telephone_number": "703-914-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 NE 47TH ST STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087729",
            "telephone_number": "954-493-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "ISA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9370209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ivazquez@nationalspine.emadirect.md",
            "affiliation": "N",
            "address_1": "1930 NE 47th St Ste 300",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333087729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.