Active NPI
Yvette Irizarry
- Assisted Living Facility
- Deland, FL
National Provider Identifier
1750723938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 11687
- Practice address
- 1526 Monroe St
Deland, FL 32720-8447 - Phone
- (386) 738-5700
- Fax
- (386) 822-4189
- NPI assigned
- Jul 29, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 11687 | FL | Primary |
Addresses
Primary practice location
1526 Monroe St
Deland, FL 32720-8447
Mailing address
1526 Monroe St
Deland, FL 32720-8447
Phone (386) 738-5700
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 |
|---|---|---|---|
| 11687 | FL | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1750723938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 MONROE ST",
"city": "DELAND",
"state": "FL",
"postal_code": "327208447",
"telephone_number": "386-738-5700",
"fax_number": "386-822-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 MONROE ST",
"city": "DELAND",
"state": "FL",
"postal_code": "327208447",
"telephone_number": "386-738-5700",
"fax_number": "386-822-4189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY",
"first_name": "YVETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "11687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.