Individual provider Active NPI

Iresi Rosado, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1467025692
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014200 Issued in FL
Practice address
12085 W Hillsborough Ave
Tampa, FL 33635-9725
Phone
(813) 397-5300
Fax
(813) 738-9010
NPI assigned
Jul 24, 2021
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 11014200 FL Primary

Addresses

Primary practice location

12085 W Hillsborough Ave
Tampa, FL 33635-9725

Mailing address

12410 N Nebraska Ave
Tampa, FL 33612-5352
Phone (813) 926-3756

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
I20211021002730 FL Practitioner - Nurse Practitioner 2466840566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Family Health Centers IncGroup PAC ID 1254243769, 66 clinicians

Practice addresses (Care Compare)

12085 W Hillsborough Ave
Tampa, FL 33635-9725
Phone (813) 852-5270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014200FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers Inc Current Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Feb 26, 2024 Accepting new patients
Tampa Family Health Centers, Inc. CurrentSince Feb 26, 2024 Accepting new patients

Locations

1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 398-5300

19203 N Dale Mabry Hwy
Lutz, FL 33548

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

12410 N Nebraska Ave
Tampa, FL 33612
Phone (813) 866-0950

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

2727 W Mlk Blvd
Ste 630
Tampa, FL 33607
Phone (813) 876-6000

2808 W Mlk Blvd
Tampa, FL 33607
Phone (813) 872-9200

302 W Fletcher Ave
Tampa, FL 33612

4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000

4620 N 22nd St
Tampa, FL 33610
Phone (813) 272-6240

5611 Sheldon Rd
Tampa, FL 33615
Phone (813) 397-5320

6216 E Sligh Ave
Tampa, FL 33617
Phone (813) 549-8060

7608 Causeway Blvd
Tampa, FL 33619
Phone (813) 405-3710

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

8108 N Nebraska Ave
Tampa, FL 33604
Phone (813) 712-1930

8213 W Waters Ave
Tampa, FL 33615
Phone (813) 490-5420

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.

NPI Registry JSON

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1467025692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125352",
            "telephone_number": "813-926-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12085 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359725",
            "telephone_number": "813-397-5300",
            "fax_number": "813-738-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "IRESI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.