Individual provider Active NPI

Shanna Leah Irizarry-Miller, DNP, FNP-C

  • Family Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1568915643
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012990 Issued in FL
Practice address
872 Executive Dr
Oviedo, FL 32765-7699
Phone
(407) 278-7089
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9564296 FL
Family Nurse Practitioner 363LF0000X APRN11012990 FL Primary

Addresses

Primary practice location

872 Executive Dr
Oviedo, FL 32765-7699

Mailing address

872 Executive Dr
Oviedo, FL 32765-7699
Phone (407) 278-7089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 11, 2025 through Aug 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9564296FLMDRegistered Nurse
APRN11012990FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1568915643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 EXECUTIVE DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657699",
            "telephone_number": "407-278-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 EXECUTIVE DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657699",
            "telephone_number": "407-278-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY-MILLER",
        "first_name": "SHANNA",
        "middle_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9564296",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.