Individual provider Active NPI

Alexandra Tiffany Essid, NP

  • Adult Health Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1124630223
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11016747 Issued in FL
Practice address
6150 150TH Ave N
Clearwater, FL 33760-2138
Phone
(727) 507-4673
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309854-01 NY
Adult Health Nurse Practitioner 363LA2200X 213237 AR
Adult Health Nurse Practitioner 363LA2200X APRN11016747 FL Primary

Addresses

Primary practice location

6150 150TH Ave N
Clearwater, FL 33760-2138

Mailing address

6150 150TH Ave N
Clearwater, FL 33760-2138

Other practice location 1

10301 Mayo Dr
Barling, AR 72923-1660
Phone (479) 755-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
213237ARMDAdult Health Nurse Practitioner
APRN11016747FLMDAdult Health Nurse Practitioner
F309854-01NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1124630223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 150TH AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 150TH AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602138",
            "telephone_number": "727-507-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Mayo Dr",
            "address_purpose": "LOCATION",
            "city": "Barling",
            "state": "AR",
            "postal_code": "729231660",
            "country_code": "US",
            "telephone_number": "479-755-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESSID",
        "first_name": "ALEXANDRA",
        "middle_name": "TIFFANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309854-01",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "213237",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11016747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.