Individual provider Active NPI

Alexis Joette Jeffreys, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1023523222
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024564 Issued in FL
Practice address
8548 Shady Glen Dr
Orlando, FL 32819-4196
Phone
(321) 438-8867
NPI assigned
Dec 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Registered Nurse 163W00000X 9392644 FL
Case Manager/Care Coordinator 171M00000X
Family Nurse Practitioner 363LF0000X 11024564 FL Primary

Addresses

Primary practice location

8548 Shady Glen Dr
Orlando, FL 32819-4196

Mailing address

8548 Shady Glen Dr
Orlando, FL 32819-4196
Phone (321) 438-8867

Other practice location 1

7754 Clementine Way
Orlando, FL 32819-4612
Phone (321) 438-8867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230419001408 FL Practitioner - Nurse Practitioner 0345615613 Reassigns benefits to 1 organization
I20230714001163 MI Practitioner - Nurse Practitioner 0345615613 Reassigns benefits to 1 organization
I20240424003051 WA Practitioner - Nurse Practitioner 0345615613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9392644FLMDRegistered Nurse
11024564FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Apr 10, 2023 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Apr 8, 2024 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

8300 NW 33rd St
Ste 400
Doral, FL 33122
Phone (904) 229-7396

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: alexis.jeffreys@552337174953988.direct.elationemr.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1023523222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8548 SHADY GLEN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194196",
            "telephone_number": "321-438-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8548 SHADY GLEN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194196",
            "telephone_number": "321-438-8867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7754 Clementine Way",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328194612",
            "country_code": "US",
            "telephone_number": "321-438-8867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFREYS",
        "first_name": "ALEXIS",
        "middle_name": "JOETTE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-10",
        "last_updated": "2023-02-13",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9392644",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.