Individual provider Active NPI

Elsie Alexandre-Joseph

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1174922041
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1837552 Issued in FL
Practice address
5200 NE 2ND Ave
Miami, FL 33137-2706
Phone
(305) 751-8626
NPI assigned
Aug 17, 2014
Last updated
Jun 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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 1837552 FL Primary
Nurse Practitioner 363L00000X 430806 NY

Addresses

Primary practice location

5200 NE 2ND Ave
Miami, FL 33137-2706

Mailing address

1761 Whitman Dr
West Melbourne, FL 32904-8758
Phone (321) 768-1181

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141023002133 FL Practitioner - Nurse Practitioner 0749401339 Reassigns benefits to 3 organizations
Practice locations: West Melbourne, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1837552FLMDNurse Practitioner
430806NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longwood Medical Group PA CurrentSince Mar 1, 2023 Accepting new patients
West Florida Medical Associates P a Nurse Practitioner CurrentSince Aug 21, 2021 Accepting new patients
Nature Coast Geriatric Services LLC CurrentSince Aug 21, 2021 Accepting new patients
West Florida Medical Associates, PA CurrentSince Aug 21, 2021 Accepting new patients

Locations

3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867

3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

450 W State Road 434
Ste 3010
Longwood, FL 32750
Phone (321) 206-8100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1577/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1408233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1174922041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 WHITMAN DR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048758",
            "telephone_number": "321-768-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372706",
            "telephone_number": "305-751-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDRE-JOSEPH",
        "first_name": "ELSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-17",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1837552",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "430806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.