Active NPI
Alicia Self, DNP-FNP-C
- Family Nurse Practitioner
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11002709
- Practice address
- 211 E Main St # 435
Lakeland, FL 33801-4628 - Phone
- (863) 595-6909
- NPI assigned
- Jan 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | C-APN.0102110-C-NP | CO | |
| Nurse Practitioner | 363L00000X | 308247 | AZ | |
| Registered Nurse | 163W00000X | RN9655562 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11002709 | FL | Primary |
Addresses
Primary practice location
211 E Main St # 435
Lakeland, FL 33801-4628
Mailing address
PO Box 971
Kathleen, FL 33849-0971
Phone (863) 944-6977
Other practice location 1
1501 Biscayne Blvd
Miami, FL 33132-1449
Phone (877) 870-0323
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200624001934 | FL | Practitioner - Nurse Practitioner | 1153743927 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9655562 | FL | MD | Registered Nurse |
| 308247 | AZ | MD | Nurse Practitioner |
| C-APN.0102110-C-NP | CO | MD | Nurse Practitioner |
| APRN11002709 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opulent Medical Care LLC | Current | Accepting new patients | |
| Openloop Healthcare Partners PC | Nurse Practitioner | Current | Accepting new patients |
| Angel Eyes Home Care LLC | Current | Accepting new patients | |
| Ig Health and Wellness | Past | Accepting new patients | |
| Openloop Healthcare Partners New Jersey PC | Nurse Practitioner | Past | Accepting new patients |
Locations
3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806
3707 E Southern Ave
#2
Mesa, AZ 85206
211 E Main St
#435
Lakeland, FL 33801
Phone (863) 595-6909
1500 Lakeland Hills Blvd
Ste 2
Lakeland, FL 33805
Phone (863) 682-8200
8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
1 Westbrook Corporate Ctr
Westchester, IL 60154
Phone (708) 256-7231
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 and National Provider Directory roles.
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
FL, Nurse Practitioner
-
- Clinic/Center
- Lakeland, FL
- NPI 1457154379
-
- Home Health Agency
- Lakeland, FL
- NPI 1588215578
-
- Clinic/Center
- Pembroke Pines, FL
- NPI 1245017623
-
- General Practice Physician
- Jersey City, NJ
- NPI 1588335152
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1154885804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 971",
"city": "KATHLEEN",
"state": "FL",
"postal_code": "338490971",
"telephone_number": "863-944-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E MAIN ST # 435",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014628",
"telephone_number": "863-595-6909"
}
],
"practiceLocations": [
{
"address_1": "1501 Biscayne Blvd",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331321449",
"country_code": "US",
"telephone_number": "877-870-0323",
"fax_number": "866-427-3798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELF",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "DNP-FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "C-APN.0102110-C-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "308247",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9655562",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11002709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.