Active NPI
Cherith Victoria Irizarry, FNP
- Family Nurse Practitioner
- Granbury, TX
National Provider Identifier
1316530553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1016859
- Practice address
- 4425 E US Highway 377 Ste 104
Granbury, TX 76049-7475 - Phone
- (682) 936-4081
- Fax
- (817) 570-0704
- NPI assigned
- Feb 18, 2021
- 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 | 1016859 | TX | Primary |
Addresses
Primary practice location
4425 E US Highway 377 Ste 104
Granbury, TX 76049-7475
Mailing address
P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016859 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Regional Health Care System Inc | Current | Accepting new patients | |
| Texas Health Care, PLLC | Current | Accepting new patients |
Locations
4425 E US Highway 377
Ste 104
Granbury, TX 76049
Phone (682) 936-4081
1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000
Interoperability endpoints
- cirizarry72149@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- cirizarry4582823@adventhealth.direct-ci.com
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Granbury, TX
- NPI 1477269504
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1316530553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 961205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761611205",
"telephone_number": "817-740-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 E US HIGHWAY 377 STE 104",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760497475",
"telephone_number": "682-936-4081",
"fax_number": "817-570-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY",
"first_name": "CHERITH",
"middle_name": "VICTORIA",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1016859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.