Individual provider Active NPI

Ingrid Rizo, FNP-BC

  • Family Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1265050918
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008004 Issued in FL
Practice address
924 SE 12TH Ave
Deerfield Beach, FL 33441-5879
Phone
(954) 376-1163
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 11008004 FL Primary

Addresses

Primary practice location

924 SE 12TH Ave
Deerfield Beach, FL 33441-5879

Mailing address

924 SE 12TH Ave
Deerfield Beach, FL 33441-5879
Phone (954) 376-1163

Other practice location 1

9690 W Sample Rd Ste 101
Coral Springs, FL 33065-4031
Phone (954) 346-8800

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
I20210226000204 FL Practitioner - Nurse Practitioner 3375958192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Deerfield Beach, FL 33441
Phone (954) 376-1163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008004FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rodolfo Carrillo Jimenez MD PA CurrentSince Mar 21, 2022 Accepting new patients
Luis F Gutierrez MD LLC PastSince Jul 1, 2020 Accepting new patients
Drew a. Sax, O.D.,P.a. PastSince Jul 1, 2020 Accepting new patients

Locations

5210 Linton Blvd
Ste 301
Delray Beach, FL 33484
Phone (561) 496-7900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BADGCD
  • Direct secure messaging: ingrid.rizo@787923830898692.direct.elationemr.com

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1265050918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 SE 12TH AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415879",
            "telephone_number": "954-376-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 SE 12TH AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415879",
            "telephone_number": "954-376-1163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9690 W Sample Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654031",
            "country_code": "US",
            "telephone_number": "954-346-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZO",
        "first_name": "INGRID",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2021-04-08",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.