Iveth Mastrapa

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11003642 Issued in FL

Practice address

3727 N Goldenrod Rd Ste 106
Winter Park, FL 32792-8611

Phone

(407) 478-0028

Fax

(321) 203-4720

NPI assigned

Aug 26, 2019

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pedro L. Ortega MD PA

  dba Central Florida Primary Care

  • Internal Medicine Physician
  • Winter Park, FL
  • NPI 1326438771
  Medicare reassignment NPD
• Florida Medical Associates LLC

  dba VIPcare

  • Primary Care Clinic/Center
  • Lady Lake, FL
  • NPI 1336153709
  NPD (past)

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1891343661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16662 CORNER LAKE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328201928",
            "telephone_number": "321-948-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 N GOLDENROD RD STE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928611",
            "telephone_number": "407-478-0028",
            "fax_number": "321-203-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRAPA",
        "first_name": "IVETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11003642",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11003642",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003642",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11003642",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11003642",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "11003642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Mason
• Micah Koinyan Massaquoi Jr., LMHC
• Brian Masters, M.D.
• Joanne Marie Masters, LPC/LMHC
• Noah Mastone, DPT, PT
• Ramzi Matar, DMD
• Sarah Elizabeth Mathew, DMD
• Susan Mathew, APRN
• Brunilda A. Matos
• Sherry Stapp Mattos, LMHC

• Nurse Practitioner in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.