Individual provider Active NPI

Nikita Alicea, CRNP

  • Family Nurse Practitioner
  • Zephyrhills, FL
National Provider Identifier
1134618804
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017921 Issued in FL
Practice address
38021 Market Square Dr
Zephyrhills, FL 33542-7504
Phone
(813) 771-5037
Fax
(813) 355-5090
NPI assigned
May 8, 2018
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP018688 PA
Family Nurse Practitioner 363LF0000X APRN11017921 FL Primary

Addresses

Primary practice location

38021 Market Square Dr
Zephyrhills, FL 33542-7504

Mailing address

38135 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (352) 567-0188

Other practice location 1

2352 Bruce B Downs Blvd Ste 101
Wesley Chapel, FL 33544-9203
Phone (813) 929-3600

Other names 1

  • Nikita Lamasherpa Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191230002257 PA Practitioner - Nurse Practitioner 5092149930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redi Care Physicians, IncGroup PAC ID 1052304342, 3 clinicians

Practice addresses (Care Compare)

648 N Main St
Taylor, PA 18517-1112
Phone (570) 348-1101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11017921FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redi Care Physicians, Inc CurrentSince Nov 6, 2019 Accepting new patients

Locations

2461 Nazareth Rd
Easton, PA 18045
Phone (610) 252-1020

648 N Main St
Taylor, PA 18517
Phone (570) 348-1101

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1134618804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "352-567-0188",
            "fax_number": "813-355-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38021 MARKET SQUARE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427504",
            "telephone_number": "813-771-5037",
            "fax_number": "813-355-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2352 Bruce B Downs Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335449203",
            "country_code": "US",
            "telephone_number": "813-929-3600",
            "fax_number": "813-355-5901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALICEA",
        "first_name": "NIKITA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018688",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKITA",
            "last_name": "LAMASHERPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.