Individual provider Active NPI

Homeyra Hafizi, RN

  • Registered Nurse
  • Orlando, FL
National Provider Identifier
1962858225
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2602952 Issued in FL
Practice address
13800 Veterans Way
Orlando Veterans Affairs
Orlando, FL 32827
Phone
(321) 637-3616
Fax
(321) 637-3602
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2602952 FL Primary

Addresses

Primary practice location

13800 Veterans Way
Orlando Veterans Affairs
Orlando, FL 32827

Mailing address

13800 Veterans Way
Orlando Veterans Affairs Medical Lake Nona Campus
Orlando, FL 32827-0000
Phone (321) 637-3616

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2602952FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1962858225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 VETERANS WAY",
            "address_2": "ORLANDO VETERANS AFFAIRS MEDICAL LAKE NONA CAMPUS",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328270000",
            "telephone_number": "321-637-3616",
            "fax_number": "321-637-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 VETERANS WAY",
            "address_2": "ORLANDO VETERANS AFFAIRS",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32827",
            "telephone_number": "321-637-3616",
            "fax_number": "321-637-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFIZI",
        "first_name": "HOMEYRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "2602952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.