Organization Active NPI

Alterare Advantage LLC

  • Community/Behavioral Health Agency
  • Maitland, FL
National Provider Identifier
1114414463
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALTERARE ADVANTAGE LLC
Practice address
151 N. Maitland Avenue
948514
Maitland, FL 32751-3275
Phone
(407) 780-0177
NPI assigned
Apr 21, 2018
Last updated
May 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Authorized official

Name
Jazzmyn Alyssia-Marie Iglesia, MS BCBA
Title
Ceo
Phone
(407) 780-0177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

151 N. Maitland Avenue
948514
Maitland, FL 32751-3275

Mailing address

2911 Stone Glen Way Apt 107
Winter Park, FL 32792-1784
Phone (407) 780-0177

Other practice location 1

2366 Nautical Way Apt 208
Winter Park, FL 32792-1234
Phone (140) 778-0017

National Provider Directory

National Provider Directory

Locations

478 E Altamonte Dr
Ste 108227
Altamonte Springs, FL 32701

151 N Maitland Ave
#948514
Maitland, FL 32751
Phone (407) 780-0177

NPI Registry JSON

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620432000000",
    "number": "1114414463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 STONE GLEN WAY APT 107",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921784",
            "telephone_number": "407-780-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N. MAITLAND AVENUE",
            "address_2": "948514",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513275",
            "telephone_number": "407-780-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2366 Nautical Way Apt 208",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327921234",
            "country_code": "US",
            "telephone_number": "140-778-0017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTERARE ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-21",
        "last_updated": "2021-05-08",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "IGLESIA",
        "authorized_official_first_name": "JAZZMYN",
        "authorized_official_middle_name": "ALYSSIA-MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-780-0177",
        "authorized_official_credential": "MS BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.