SAINT TERESA OF AVILA HEALTHCARE PA
NPI 1487450888
Nurse Practitioner - Psychiatric/Mental Health in Vero Beach, FL
NPI Status: Active since February 25, 2025
Contact Information
1766 20TH AVE STE 2
VERO BEACH, FL
ZIP 32960
Phone: (772) 539-0214
Fax: (772) 298-4170
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
- CLIA Number: 10D2327346
- CLIA Cert. Type: Other - OUTPATIENT PRIMARY CARE
- CLIA Exp. Date: 07-21-2027
About SAINT TERESA OF AVILA HEALTHCARE PA
This page provides the complete NPI Profile along with additional information for Saint Teresa Of Avila Healthcare Pa, a provider established in Vero Beach, Florida operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1487450888 assigned on February 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated December 2025. Saint Teresa Of Avila Healthcare Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1487450888
- Provider Legal Name
- SAINT TERESA OF AVILA HEALTHCARE PA
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1766 20TH AVE STE 2 VERO BEACH, FL 32960
- Location Phone
- (772) 539-0214
- Location Fax
- (772) 298-4170
- Mailing Address
- 1766 20TH AVE STE 2 VERO BEACH, FL 32960
- Mailing Phone
- (772) 539-0214
- Mailing Fax
- (772) 298-4170
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-25-2025
- Last Update Date
- 12-19-2025
- Code Navigator
A nurse practitioner (NP) like Saint Teresa Of Avila Healthcare Pa is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2327346
- Facility Type
- Other - OUTPATIENT PRIMARY CARE
- Certificate Effective Date
- July 22, 2025
- Certificate Expiration Date
- July 21, 2027
- Laboratory Director
- DANIELLA A. IBARRA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Saint Teresa Of Avila Healthcare Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1487450888, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
VERO BEACH, FL 32960
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487450888, enumerated as an "organization" on February 25, 2025.
The provider is located at 1766 20TH AVE STE 2 VERO BEACH, FL 32960 and the phone number is (772) 539-0214.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
