Individual provider Active NPI

Jazmine Irizarry, CRNP

  • Primary Care Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1942807524
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP022514 Issued in PA
Practice address
218 N 2ND St
Allentown, PA 18102-3508
Phone
(610) 841-8400
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP022514 PA Primary

Addresses

Primary practice location

218 N 2ND St
Allentown, PA 18102-3508

Mailing address

218 N 2ND St
Allentown, PA 18102-3508
Phone (610) 841-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210625000095 PA Practitioner - Nurse Practitioner 8426459611 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Centers of the Lehigh Valley Current Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Jun 6, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Dec 27, 2021 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Dec 27, 2021 Accepting new patients

Locations

218 N 2nd St
Allentown, PA 18102
Phone (484) 640-1200

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

622 Union Blvd
Allentown, PA 18109
Phone (717) 524-4343

1210 E 4th St
Bethlehem, PA 18015
Phone (484) 408-0755

635 E Broad St
Bethlehem, PA 18018
Phone (610) 820-7605

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

715 Route 113
#B
Souderton, PA 18964
Phone (267) 382-3220

Interoperability endpoints

  • Direct secure messaging: jazmine.irizarry.1@21036.direct.athenahealth.com

Organizations & group practices 5

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1942807524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N 2ND ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023508",
            "telephone_number": "610-841-8400",
            "fax_number": "610-841-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N 2ND ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023508",
            "telephone_number": "610-841-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "JAZMINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP022514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.