Individual provider Active NPI

Edith B Alido, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1023118874
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3390002 Issued in FL
Practice address
2812 N 22ND St
Tampa, FL 33605-2762
Phone
(813) 374-2494
Fax
(813) 374-2495
NPI assigned
Sep 22, 2006
Last updated
Apr 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3390002 FL Primary

Addresses

Primary practice location

2812 N 22ND St
Tampa, FL 33605-2762

Mailing address

5005 W Dickens Ave
Tampa, FL 33629-7514
Phone (352) 634-3971

Other identifiers 2

IdentifierTypeStateIssuer
11813519OtherFLCAQH
308749200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080804000373 FL Practitioner - Nurse Practitioner 8820162258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Eschelbacher MD PLGroup PAC ID 7113089574, 3 clinicians

Practice addresses (Care Compare)

2812 N 22ND St
Tampa, FL 33605-2762
Phone (813) 374-2494

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3390002FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Eschelbacher MD PL CurrentSince Mar 14, 2018 Accepting new patients

Locations

2812 N 22nd St
Tampa, FL 33605
Phone (813) 374-2494

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1023118874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 W DICKENS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297514",
            "telephone_number": "352-634-3971",
            "fax_number": "813-374-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052762",
            "telephone_number": "813-374-2494",
            "fax_number": "813-374-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIDO",
        "first_name": "EDITH",
        "middle_name": "B",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3390002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11813519",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308749200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.