Individual provider Active NPI

Irma Nyack, RN,BSN,MBA

  • Day Training/Habilitation Specialist
  • Clermont, FL
National Provider Identifier
1588972202
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
606 West Ave
Clermont, FL 34711-2175
Phone
(407) 484-2303
Fax
(407) 258-8225
NPI assigned
Sep 15, 2010
Last updated
Sep 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X FL Primary

Addresses

Primary practice location

606 West Ave
Clermont, FL 34711-2175

Mailing address

1130 Lake Whitney Dr
Windermere, FL 34786-6070
Phone (407) 484-2303

Other identifiers 1

IdentifierTypeStateIssuer
002455400MedicaidFL

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Master of Business Administration, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1588972202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 LAKE WHITNEY DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866070",
            "telephone_number": "407-484-2303",
            "fax_number": "407-258-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 WEST AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112175",
            "telephone_number": "407-484-2303",
            "fax_number": "407-258-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYACK",
        "first_name": "IRMA",
        "credential": "RN,BSN,MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002455400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.