Active NPI
Iris Consuelo Pagay
- Family Nurse Practitioner
- Safety Harbor, FL
National Provider Identifier
1699415695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11018864
- Practice address
- 3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607 - Phone
- (727) 725-6111
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9406018 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11018864 | FL | Primary |
Addresses
Primary practice location
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Mailing address
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Other | Health Information Exchange (HIE) | |
| Other URL | Other | Other |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9406018 | FL | MD | Registered Nurse |
| 11018864 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1699415695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 MCMULLEN BOOTH RD",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346956607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 MCMULLEN BOOTH RD",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346956607",
"telephone_number": "727-725-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAY",
"first_name": "IRIS",
"middle_name": "CONSUELO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9406018",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11018864",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3231 McMullen Booth Rd",
"city": "Safety Harbor",
"state": "FL",
"country_code": "US",
"postal_code": "346956607",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3231 McMullen Booth Rd",
"city": "Safety Harbor",
"state": "FL",
"country_code": "US",
"postal_code": "346956607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.