Alf 8860 Adrd Training Provider LLC.

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

ALF 8860 ADRD TRAINING PROVIDER LLC.

Practice address

7990 Baymeadows Rd E Unit 1001
Jacksonville, FL 32256-2977

Phone

(904) 379-7359

Fax

(904) 379-7359

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Miss Erica Kay Evans

Title

Administrator

Phone

(904) 379-7359

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1013572304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 BAYMEADOWS RD E UNIT 1001",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562977",
            "telephone_number": "904-379-7359",
            "fax_number": "904-379-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7990 BAYMEADOWS RD E UNIT 1001",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562977",
            "telephone_number": "904-379-7359",
            "fax_number": "904-379-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALF 8860 ADRD TRAINING PROVIDER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-379-7359",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Letisha Alexander
• Monica C Alexanderson, PA
• Rebecca Alexandre
• Meniollenne Alexis
• Nia Elizabeth Alexis
• Amy Truong Alfaro, D.M.D.
• Enak Alfonso
• Justin Alfonso, M.D.
• Krupa Kyle Alford, DPT
• Kyle David Alford, DPT

• Intellectual & Developmental Disabilities Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Intellectual & Developmental Disabilities Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.