In Home Primary Care Provider, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2078202 Issued in FL

Legal business name

IN HOME PRIMARY CARE PROVIDER, LLC

Practice address

5545 Marie Dr
Zephyrhills, FL 33541-1913

Phone

(813) 406-1925

NPI assigned

Dec 2, 2010

Last updated

Dec 2, 2010By 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

Iris C Bracken, NPNPI 1407051303

Title

Owner

Phone

(813) 406-1925

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 5

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.

• Iris C Anderson Bracken, ARNP-C

  • Adult Health Nurse Practitioner
  • Zephyrhills, FL
  • NPI 1407051303
  Medicare reassignment Care Compare group NPD Authorized official
• Kate Davids, PSY.D.

  • Psychologist
  • Wesley Chapel, FL
  • NPI 1902842289
  Medicare reassignment Care Compare group NPD
• Corrine M Cherpak, ARNP

  • Adult Psychiatric/Mental Health Registered Nurse
  • Lutz, FL
  • NPI 1922198449
  NPD (past)
• Margaret Suzanne Hiebert, ARNP

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1689602187
  NPD (past)
• Diane Regina Jackson, ARNP

  • Primary Care Nurse Practitioner
  • Tampa, FL
  • NPI 1467796128
  NPD (past)

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1730481326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 MARIE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411913",
            "telephone_number": "813-406-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 MARIE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411913",
            "telephone_number": "813-406-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME PRIMARY CARE PROVIDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-406-1925",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2078202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.