SAINT TERESA OF AVILA HEALTHCARE PA
NPI 1487450888
Nurse Practitioner - Psychiatric/Mental Health in Vero Beach, FL

Active since February 25, 2025CLIA 10D2327346 · Waiver
1766 20TH AVE STE 2, VERO BEACH, FL 32960(772) 539-0214(772) 298-4170 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, Apr 8, 2025, Apr 2, 2025 and 1 more (4 updates tracked since 2025).

About Saint Teresa Of Avila Healthcare Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAINT TERESA OF AVILA HEALTHCARE PA (NPI 1487450888), doing business as Saint Teresa Of Avila Healthcare, is a healthcare organization registered as a psychiatric/mental health in Vero Beach, Florida and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Daniela Andreina Ibarra, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1487450888
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSAINT TERESA OF AVILA HEALTHCARE PA
Location Address1766 20TH AVE STE 2Vero Beach, FL 32960-3632
Mailing Address1766 20th Ave Ste 2Vero Beach, FL 32960-3632 · (772) 539-0214 · Fax (772) 298-4170
Fax(772) 298-4170
Organization SubpartNo
Authorized OfficialDaniela Andreina IbarraAuthorized Official · (772) 539-0214
Enumeration DateFebruary 25, 2025
Last NPPES UpdateDecember 19, 20254 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1487450888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1766 20TH AVE STE 2, Vero Beach, FL 32960

Other Names 1

Doing Business AsSaint Teresa Of Avila Healthcare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2327346

Saint Teresa Of Avila Healthcare PA · Vero Beach, FL
Active · expires Jul 21, 2027
CLIA Number10D2327346
Laboratory TypeOutpatient Primary Care
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorDaniella A. Ibarra
Laboratory Phone(772) 539-0214
Laboratory LocationSaint Teresa Of Avila Healthcare PA1766 20th Avenue Suite #2, Vero Beach, FL 32960
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1766 20TH AVE STE 2
VERO BEACH, FL 32960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saint Teresa Of Avila Healthcare PA's NPI number?

The NPI number for Saint Teresa Of Avila Healthcare PA is 1487450888. It was assigned to this organization in the NPPES registry on February 25, 2025. The provider is doing business as Saint Teresa of Avila Healthcare.

Where is Saint Teresa Of Avila Healthcare PA located?

Saint Teresa Of Avila Healthcare PA is located at 1766 20th Ave Ste 2, Vero Beach, FL 32960. The listed phone number is (772) 539-0214.

What is Saint Teresa Of Avila Healthcare PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Saint Teresa Of Avila Healthcare PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2327346) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saint Teresa Of Avila Healthcare PA was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.