Alicia Middleton, CNA
Individual provider Active NPI Nurse's Aide · Indian Head, MD
NPI 1194303552 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1194303552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- A00129004 (MD)
- Practice address
- 12 Riverwatch LN
Indian Head, MD 20640-1560 - Phone
- (540) 556-3693
- NPI assigned
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00129004 | MD | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A00129004 | MD | Yes |
Addresses
Primary practice location
12 Riverwatch LN
Indian Head, MD 20640-1560
Mailing address
12 Riverwatch LN
Indian Head, MD 20640-1560
Phone (540) 556-3693
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A00129004 | Other | MD | MD BOARD OF NURSING |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ASMiddleton001@outlook.com | Direct |
Other providers in Indian Head, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.