Individual provider Active NPI

Iris Alvarez Velazquez, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1699267344
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022796 Issued in FL
Practice address
10240 Fulcrum Ave
Jacksonville, FL 32256-8178
Phone
(786) 366-9873
NPI assigned
May 30, 2018
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11022796 FL Primary
Registered Nurse 163W00000X RN9478194 FL

Addresses

Primary practice location

10240 Fulcrum Ave
Jacksonville, FL 32256-8178

Mailing address

3428 Rogero Rd
Jacksonville, FL 32277-2554
Phone (786) 366-9873

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
I20230215000577 FL Practitioner - Nurse Practitioner 2163821067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9478194FLMDRegistered Nurse
11022796FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Nursing Group Inc Current Accepting new patients
Jacksonville Healthcare Group Inc CurrentSince Apr 8, 2021 Accepting new patients

Organizations & group practices 2

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1699267344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 ROGERO RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772554",
            "telephone_number": "786-366-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 FULCRUM AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568178",
            "telephone_number": "786-366-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ VELAZQUEZ",
        "first_name": "IRIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022796",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9478194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.