Individual provider Active NPI

Alexandria West Diego, APRN

  • Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1043687619
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9262193 Issued in FL
Practice address
1228 S Pine Island Rd Ste 410
Plantation, FL 33324-4583
Phone
(954) 837-1490
Fax
(954) 837-1188
NPI assigned
Aug 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9262193 FL Primary

Addresses

Primary practice location

1228 S Pine Island Rd Ste 410
Plantation, FL 33324-4583

Mailing address

PO Box 743144
Atlanta, GA 30374-3144
Phone (954) 837-1490

Other identifiers 1

IdentifierTypeStateIssuer
017959200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ale09826@cerner.directbaptisthealth.com

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
I20161201000281 FL Practitioner - Nurse Practitioner 1557641982 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital Inc CurrentSince Jan 1, 2023 Accepting new patients
Holy Cross Hospital, Inc CurrentSince Jan 1, 2023 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

Interoperability endpoints

  • Direct secure messaging: ale09826@cerner.directbaptisthealth.com
  • Direct secure messaging: adiego2368986@direct.trinity-health.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1043687619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743144",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743144",
            "telephone_number": "954-837-1490",
            "fax_number": "954-837-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 S PINE ISLAND RD STE 410",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244583",
            "telephone_number": "954-837-1490",
            "fax_number": "954-837-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEGO",
        "first_name": "ALEXANDRIA",
        "middle_name": "WEST",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-30",
        "last_updated": "2022-02-10",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9262193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017959200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ale09826@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "1228 S Pine Island Rd Ste 410",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333244583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.