Individual provider Active NPI

Patricia Ann Irizarry, NP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1780865675
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
616984 Issued in TX
Practice address
9854 Lake Haven Cir
Fort Worth, TX 76108-9769
Phone
(817) 239-9385
NPI assigned
Nov 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 616984 TX Primary

Addresses

Primary practice location

9854 Lake Haven Cir
Fort Worth, TX 76108-9769

Mailing address

9854 Lake Haven Cir
Fort Worth, TX 76108-9769
Phone (817) 239-9385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040729000349 TX Practitioner - Nurse Practitioner 3870563505 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4581TXMDChiropractor
616984TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
World Medical Group PLLC CurrentSince Sep 1, 2017 Accepting new patients
FF Corporation PLLC CurrentSince Apr 1, 2023 Accepting new patients
Texas Health and Therapy Centers CurrentSince Oct 12, 2022 Accepting new patients
World Medical Group PLLC CurrentSince Sep 1, 2017 Accepting new patients

Locations

2017 S Cooper St
Arlington, TX 76010
Phone (817) 265-5200

7100 Oakmont Blvd
Ste 201
Fort Worth, TX 76132
Phone (817) 583-9090

5521 Bellaire Dr S
Ste 114
Ft Worth, TX 76109
Phone (817) 451-7979

5521 Bellaire Dr S
Ste 110
Ft Worth, TX 76109
Phone (817) 926-9642

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1780865675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9854 LAKE HAVEN CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761089769",
            "telephone_number": "817-239-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9854 LAKE HAVEN CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761089769",
            "telephone_number": "817-239-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "616984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.