Individual provider Active NPI

Irina Kasperovich, FNP-C

  • Family Nurse Practitioner
  • Venice, FL
National Provider Identifier
1366224495
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029061 Issued in FL
Practice address
2344 Caraway Dr
Venice, FL 34292-4171
Phone
(773) 930-8731
NPI assigned
Oct 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 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 APRN11029061 FL Primary

Addresses

Primary practice location

2344 Caraway Dr
Venice, FL 34292-4171

Mailing address

2344 Caraway Dr
Venice, FL 34292-4171
Phone (773) 930-8731

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
I20231214001860 FL Practitioner - Nurse Practitioner 2961851035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Family Spine and Pain Care Institute LLCGroup PAC ID 7517204555, 2 clinicians

Practice addresses (Care Compare)

1525 Tamiami TRL S
Suite 601
Venice, FL 34285-3568
Phone (813) 495-8011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029061FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Florida, P.a. CurrentSince Dec 11, 2023 Accepting new patients
Family Spine and Pain Care Institute LLC CurrentSince Jul 18, 2024 Accepting new patients
Infusion Express of Kansas LLC Past Accepting new patients

Locations

293 E Altamonte Dr
Ste 1201
Altamonte Springs, FL 32701
Phone (407) 392-3171

8441 Honore Ave
University Park, FL 34201
Phone (941) 360-3434

1525 Tamiami Trl S
Ste 601
Venice, FL 34285
Phone (813) 495-8011

1505 Tamiami Trl S
Ste 405
Venice, FL 34285
Phone (941) 237-0050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20709/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1366224495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 CARAWAY DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924171",
            "telephone_number": "773-930-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 CARAWAY DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924171",
            "telephone_number": "773-930-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPEROVICH",
        "first_name": "IRINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.