Saint Teresa of Avila Healthcare PA

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SAINT TERESA OF AVILA HEALTHCARE PA

Doing business as

Saint Teresa of Avila Healthcare

Practice address

1766 20TH Ave Ste 2
Vero Beach, FL 32960-3632

Phone

(772) 539-0214

Fax

(772) 298-4170

NPI assigned

Feb 25, 2025

Last updated

Dec 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Daniela Andreina Ibarra, NURSE PRACTITIONERNPI 1457750028

Title

Authorized Official

Phone

(772) 539-0214

Specialties & licenses 6

Addresses

Other names 1

• Saint Teresa of Avila Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniela Andreina Ibarra, ARNP PMHNP-BC FNP-C

  • Family Nurse Practitioner
  • Vero Beach, FL
  • NPI 1457750028

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Janette Coelho Leal, M.D

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1992090708

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1487450888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 20TH AVE STE 2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603632",
            "telephone_number": "772-539-0214",
            "fax_number": "772-298-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 20TH AVE STE 2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603632",
            "telephone_number": "772-539-0214",
            "fax_number": "772-298-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT TERESA OF AVILA HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "ANDREINA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "772-539-0214",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Teresa of Avila Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• S-H Thirty-Five Opco - Vero Beach, LLC (Brookdale Vero Beach)
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• Gabriela Sabanilla Trejo, MS, RDN, LDN
• Jeffrey Benjamin Sacks, M.D.
• Sage Dental of Vero Beach PLLC
• Saphir Saint-Louis, RBT
• Tybule Saint-Louis
• Rosana Salama Bello, M.D.
• Leigh Ann Salamone, RDN
• Luisa Salazar

• Psychiatric/Mental Health Nurse Practitioner in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.