Individual provider Active NPI

Fredesvinda Jacobs-Alvarez, M.D.

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1063468668
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME79634 Issued in FL
Practice address
7350 Futures Dr
Suite #16
Orlando, FL 32819-9084
Phone
(407) 226-3733
Fax
(407) 226-3734
NPI assigned
May 25, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME79634 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME79634 FL

Addresses

Primary practice location

7350 Futures Dr
Suite #16
Orlando, FL 32819-9084

Mailing address

7350 Futures Dr
Suite #16
Orlando, FL 32819-9083
Phone (407) 226-3733

Other identifiers 1

IdentifierTypeStateIssuer
E5727VOtherFLMEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Jacobs-Alvarez.Fredesvinda.002.0090075@ebhs.meditab.direct-ci.com Direct Fredesvinda Jacobs-Alvarez MD PLLC
Direct Messaging Address Jacobs-Alvarez.Fredesvinda.003.0090075@ebhs.meditab.direct-ci.com Direct TMS of Orlando

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000356 FL Practitioner - Psychiatry 5193766624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7350 Futures Dr
Suite 16
Orlando, FL 32819-9084
Phone (407) 226-3733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
TMS of Orlando Current Accepting new patients
Winter Haven Hospital Inc PastSince Nov 24, 2019 Accepting new patients
Bayview Center for Mental Health Inc PastSince Aug 21, 2012 Accepting new patients

Locations

7350 Futures Dr
Ste 16
Orlando, FL 32819
Phone (407) 226-3733

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: fredesvindajacobsalvarez@tdh.allscriptsdirect.net
  • Direct secure messaging: jacobs-alvarez.fredesvinda.002.0090075@ebhs.meditab.direct-ci.com
  • Direct secure messaging: jacobs-alvarez.fredesvinda.003.0090075@ebhs.meditab.direct-ci.com
  • Direct secure messaging: jacobs-alvarez.fredesvinda.004.0090075@ebhs.meditab.direct-ci.com

Organizations & group practices 5

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1063468668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 FUTURES DR",
            "address_2": "SUITE #16",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199083",
            "telephone_number": "407-226-3733",
            "fax_number": "407-226-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 FUTURES DR",
            "address_2": "SUITE #16",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199084",
            "telephone_number": "407-226-3733",
            "fax_number": "407-226-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS-ALVAREZ",
        "first_name": "FREDESVINDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME79634",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME79634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "E5727V",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jacobs-Alvarez.Fredesvinda.002.0090075@ebhs.meditab.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Fredesvinda Jacobs-Alvarez MD PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7350 Futures Dr",
            "address_2": "Suite #16",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328199084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jacobs-Alvarez.Fredesvinda.003.0090075@ebhs.meditab.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "TMS of Orlando",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7350 Futures Dr",
            "address_2": "Suite #16",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328199084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.