Active NPI
Jessica Mercer Irvin, ARNP, CPNP
- Pediatric Nurse Practitioner
- Winter Park, FL
National Provider Identifier
1942301841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP 9180163
- Practice address
- 2100 Summerfield Rd
Winter Park, FL 32792-5037 - Phone
- (407) 622-3200
- Fax
- (407) 622-3290
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP 9180163 | FL | Primary |
Addresses
Primary practice location
2100 Summerfield Rd
Winter Park, FL 32792-5037
Mailing address
620 Cimarosa CT
Ocoee, FL 34761-5007
Phone (407) 654-1244
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9180163 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942301841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 CIMAROSA CT",
"city": "OCOEE",
"state": "FL",
"postal_code": "347615007",
"telephone_number": "407-654-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SUMMERFIELD RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327925037",
"telephone_number": "407-622-3200",
"fax_number": "407-622-3290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVIN",
"first_name": "JESSICA",
"middle_name": "MERCER",
"name_prefix": "Ms.",
"credential": "ARNP, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP 9180163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
- Io Medical, PLLC
- Ira Shafran, MD, PA
- Juliana Andrea Iral Pineda, DMD
- Krystal Andrea Irizarry, M.D.
- Elizabeth Ironbar, OTR
- Irving S Kolin MD PA
- Michelle Isla, LM
- Islf Regents Park Winter Park LLC (Regents Park of Winter Park)
- Islf-Regents Park of Winter Park LLC (Westchester of Winter Park)
- Andras Iso, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.