Organization Active NPI

Florida NP Healthcare Clinic

  • Family Medicine Physician
  • Riverview, FL
National Provider Identifier
1164128286
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLORIDA NP HEALTHCARE CLINIC
Practice address
13117 Elk Mountain Dr
Riverview, FL 33579-7184
Phone
(813) 898-0226
Fax
(813) 898-0239
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Alicia GrigsbyNPI 1265929848
Title
Aprn
Phone
(813) 898-0226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

13117 Elk Mountain Dr
Riverview, FL 33579-7184

Mailing address

13117 Elk Mountain Dr
Riverview, FL 33579-7184
Phone (813) 898-0226

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2276245Florida NP Healthcare Clinic LLC13117 Elk Mountain Dr, Riverview, FL 33579Certificate of waiverFeb 5, 2027

National Provider Directory

National Provider Directory

Locations

13117 Elk Mountain Dr
Riverview, FL 33579
Phone (561) 951-8449

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1164128286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13117 ELK MOUNTAIN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797184",
            "telephone_number": "813-898-0226",
            "fax_number": "813-898-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13117 ELK MOUNTAIN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797184",
            "telephone_number": "813-898-0226",
            "fax_number": "813-898-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA NP HEALTHCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "GRIGSBY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "813-898-0226"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.