Active NPI
Dominiqua Alexis, APRN
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9301470
- Practice address
- 9975 Tavistock Lakes Blvd Ste 220
Orlando, FL 32827-7665 - Phone
- (407) 930-7801
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9301470 | FL | Primary |
Addresses
Primary practice location
9975 Tavistock Lakes Blvd Ste 220
Orlando, FL 32827-7665
Mailing address
9975 Tavistock Lakes Blvd Ste 220
Orlando, FL 32827-7665
Phone (407) 930-7801
Other practice location 1
1514 1st St N
Winter Haven, FL 33881-2476
Phone (863) 292-4280
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Family | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Central Florida Health Care Inc | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
305 W Central Ave
Lake Wales, FL 33853
Phone (863) 678-4144
305 W Central Ave
Fl Heal
Lake Wales, FL 33853
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
9975 Tavistock Lakes Blvd
Ste 220
Orlando, FL 32827
Phone (407) 930-7800
1514 1st St N
Winter Haven, FL 33881
Phone (863) 291-5110
47 5th St NW
Winter Haven, FL 33881
Interoperability endpoints
- dlint1669031@adventhealth.direct-ci.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Federally Qualified Health Center (FQHC)
- Winter Haven, FL
- NPI 1467752998
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1053882290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9975 TAVISTOCK LAKES BLVD STE 220",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277665",
"telephone_number": "407-930-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9975 TAVISTOCK LAKES BLVD STE 220",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277665",
"telephone_number": "407-930-7801"
}
],
"practiceLocations": [
{
"address_1": "1514 1st St N",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338812476",
"country_code": "US",
"telephone_number": "863-292-4280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEXIS",
"first_name": "DOMINIQUA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9301470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.